Individual
JAMES MCNEELY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5922 ALASKA LN, SHREVEPORT, LA 71107
(318) 572-6863
Mailing address
5922 ALASKA LN, SHREVEPORT, LA 71107-2002
(318) 572-6863
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
07/16/2018
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