Quintella Thibodeaux
Case Manager/Care Coordinator in Deridder, LA. Individual provider (NPI-1).
NPI number1386001048
StatusActive
Last updated in NPPESJul 28, 2018
Details
- NPI
- 1386001048
- Entity type
- Individual (NPI-1)
- Name
- Quintella Thibodeaux
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2016
- Last updated
- Jul 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
115 Wilson StDeridder, LA 70634
Phone 337-463-4020
Mailing address
2525 Youree Dr Ste 110Shreveport, LA 71104-3600
Phone 318-742-3408
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All 16 Case Manager/Care Coordinator providers in Deridder · All 360 providers in Deridder
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