Boston, Gloria Jean

Boston, Gloria Jean is an individual health care provider with primary practice located at 1310 N Hearne Ave , Shreveport LA 71107-6516. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Boston, Gloria Jean can be contacted via phone (318) 676-5111.

Contact Information

Primary practice address
1310 N Hearne Ave Shreveport LA 71107-6516
Phone: (318) 676-5111
Fax: (318) 676-5137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1871647768
LBN Legal business name Boston, Gloria Jean
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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