Individual
CHADWICK JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4601 N MARKET ST STE 2, SHREVEPORT, LA 71107-2972
(318) 424-8735
Mailing address
4601 N MARKET ST STE 2, SHREVEPORT, LA 71107-2972
(318) 424-8735
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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