Individual
JEFFREY FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
348 W 79TH ST, SHREVEPORT, LA 71106
(318) 688-8190
Mailing address
348 W 79TH ST, SHREVEPORT, LA 71106-4820
(318) 688-8190
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
07/14/2018
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