ANTHONY TISDALE

Case Manager/Care Coordinator

Active Individual
NPI: 1588245690

Practice Address

5704 SWEETWATER DR
Shreveport, LA 71119

Phone: (318) 402-2418

Specialties

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

Frequently Asked Questions

NPI 1588245690 is the National Provider Identifier for ANTHONY TISDALE, a Case Manager/Care Coordinator provider located in Shreveport, LA. This NPI was enumerated on April 20, 2021.
ANTHONY TISDALE practices at 5704 SWEETWATER DR, Shreveport, LA 71119.

Quick Facts

NPI
1588245690
Type
Individual
Enumerated
Apr 20, 2021
Last Updated
Mar 16, 2023

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