Betty Thomas
Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).
NPI number1669967345
StatusActive
Last updated in NPPESJun 26, 2018
Details
- NPI
- 1669967345
- Entity type
- Individual (NPI-1)
- Name
- Betty Thomas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2018
- Last updated
- Jun 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
9403 Mansfield RdShreveport, LA 71118-3815
Phone 318-861-8938
Mailing address
9403 Mansfield RdShreveport, LA 71118-3815
Phone 318-861-8938 · Fax 318-862-3554
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