Most Relevant Information
Provider Data
NPI Number: | 1003346172 |
Provider Name: | ALFRA DIXON |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 06/12/2017 |
Last Updated: | 06/12/2017 |
Provider Practice Location
2800 YOUREE DR STE 482
SHREVEPORT
LA
711043666
Practice Location Phone/Fax
Phone: | 3188691899 |
Fax: |
Provider Mailing Location
1015 SEBILLE DR
ALEXANDRIA
LA
713035707
Provider Mailing Phone/Fax
Phone: | 3189550092 |
Fax: |