DWAYNE JETER SR.

Case Manager/Care Coordinator

Active Individual
NPI: 1487100194

Practice Address

7505 PINES RD STE 1200I
Shreveport, LA 71129

Phone: (318) 716-1707

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No -
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1487100194 is the National Provider Identifier for DWAYNE JETER SR., a Case Manager/Care Coordinator provider located in Shreveport, LA. This NPI was enumerated on September 1, 2016.
DWAYNE JETER SR. practices at 7505 PINES RD STE 1200I, Shreveport, LA 71129.

Quick Facts

NPI
1487100194
Type
Individual
Enumerated
Sep 1, 2016
Last Updated
Dec 5, 2018

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