Sterling Davenport
Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).
NPI number1083172282
StatusActive
Last updated in NPPESMar 6, 2019
Details
- NPI
- 1083172282
- Entity type
- Individual (NPI-1)
- Name
- Sterling Davenport
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2019
- Last updated
- Mar 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
200 N Thomas Dr Ste 1Shreveport, LA 71107-6503
Phone 318-424-8345 · Fax 318-424-4417
Mailing address
200 N Thomas Dr Ste 1Shreveport, LA 71107-6503
Phone 318-424-8345 · Fax 318-424-4417
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