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Shalena Willis

Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).

NPI number1013389709
StatusActive
Last updated in NPPESMay 13, 2019

Details

NPI
1013389709
Entity type
Individual (NPI-1)
Name
Shalena Willis
Sex
Female
Sole proprietor
No
Enumeration date
Oct 21, 2015
Last updated
May 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101YM0800X Counselor, Mental Health––

Practice location

1301 Youree Dr
Shreveport, LA 71101-5117

Phone 318-675-0804

Mailing address

1301 Youree Dr
Shreveport, LA 71101-5117

Phone 318-675-0804 · Fax 318-425-9030

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