Individual
KERTRIGUS LUSHUN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
2924 KNIGHT ST STE 369, SHREVEPORT, LA 71105-2413
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107096
TX
104100000X
Social Worker
15658
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/26/2018
Last updated
10/24/2023
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