Marlon Williams
Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).
NPI number1124564489
StatusActive
Last updated in NPPESMay 3, 2021
Details
- NPI
- 1124564489
- Entity type
- Individual (NPI-1)
- Name
- Marlon Williams
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2017
- Certification date
- Mar 3, 2021
- Last updated
- May 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
6501 Hearne AveShreveport, LA 71108
Phone 318-213-0904
Mailing address
Po Box 39064Shreveport, LA 71133-9064
Phone 314-489-9508
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