Individual
ELLORINE D EDINBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1522 SYCAMORE ST, SHREVEPORT, LA 71103-2965
(318) 230-6192
Mailing address
1522 SYCAMORE ST, SHREVEPORT, LA 71103-2965
(318) 230-6192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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