Most Relevant Information
Provider Data
| NPI Number: | 1003288309 |
| Provider Name: | LA'BREYAH OGBURN |
| Entity Type: | Individual |
| Taxonomy Code: | 251S00000X |
| Specialty: | Community/Behavioral Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/26/2015 |
| Last Updated: | 10/26/2015 |
Provider Practice Location
1717 MARSHALL ST
SHREVEPORT
LA
711014139
Practice Location Phone/Fax
| Phone: | 3182269942 |
| Fax: | 3182269944 |
Provider Mailing Location
1717 MARSHALL ST
SHREVEPORT
LA
711014139
Provider Mailing Phone/Fax
| Phone: | 3182269942 |
| Fax: | 3182269944 |