Star Williams
Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).
NPI number1013763440
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1013763440
- Entity type
- Individual (NPI-1)
- Name
- Star Williams
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2024
- Certification date
- Apr 26, 2024
- Last updated
- Apr 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2100 E 70th St Ste AShreveport, LA 71105-5363
Phone 318-227-4999
Mailing address
8911 Youree Dr Apt 511Shreveport, LA 71115-3035
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