Individual
KAITLYN SHERMAE SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6628 SANTA MONICA BLVD, SHREVEPORT, LA 71119-7113
(318) 676-2826
Mailing address
6628 SANTA MONICA BLVD, SHREVEPORT, LA 71119-7113
(318) 676-2826
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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