PHEADRE SMITH

Case Manager/Care Coordinator

Active Individual
NPI: 1366024176

Practice Address

2620 CENTENARY BLVD STE 312
Shreveport, LA 71104

Phone: (318) 681-9935

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1366024176 is the National Provider Identifier for PHEADRE SMITH, a Case Manager/Care Coordinator provider located in Shreveport, LA. This NPI was enumerated on April 22, 2021.
PHEADRE SMITH practices at 2620 CENTENARY BLVD STE 312, Shreveport, LA 71104.

Quick Facts

NPI
1366024176
Type
Individual
Enumerated
Apr 22, 2021
Last Updated
Dec 11, 2023

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