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Organization
EAST TEXAS CASE MANAGEMENT REFERRAL SERVICE
Active
Organization
EAST TEXAS CASE MANAGEMENT REFERRAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY CORDEL ALLEN M.ED. LBSW (DIRECTOR/OWNER)
(903) 295-0098
Entity
Organization
Contact information
Practice address
2300 BILL OWENS PKWY APT 915, LONGVIEW, TX 75604-3060
(203) 241-5208
(903) 295-0098
Mailing address
2300 BILL OWENS PKWY APT 915, LONGVIEW, TX 75604-3060
(203) 241-5208
(903) 295-0098
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
26290
TX
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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