Individual
ALYSSA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 COATES BLUFF DR APT 1212, SHREVEPORT, LA 71104-2864
(708) 691-9355
Mailing address
1301 COATES BLUFF DR APT 1212, SHREVEPORT, LA 71104-2864
(708) 691-9355
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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