Individual
CORDARO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 WILTON PL, SHREVEPORT, LA 71107-2816
(318) 470-8691
Mailing address
910 WILTO PLACE, SHREVEPORT, LA 71107
(318) 470-8691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
04/17/2019
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