Individual
JASMINE CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7505 PINES RD, SHREVEPORT, LA 71129-3935
(318) 677-9214
Mailing address
7505 PINES RD, SHREVEPORT, LA 71129-3935
(318) 677-9214
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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