Individual
CREOLA REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3776 YOUREE DR, SHREVEPORT, LA 71105-2132
(318) 433-1111
Mailing address
3776 YOUREE DR, SHREVEPORT, LA 71105-2132
(318) 670-3159
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
05/08/2019
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