Individual
JEREMIAH GIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1181 DUDLEY DR, SHREVEPORT, LA 71104-4734
(313) 539-7963
Mailing address
1181 DUDLEY DR, SHREVEPORT, LA 71104-4734
(313) 539-7963
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
01/05/2016
Last updated
06/06/2019
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