Individual
ELIZABETH GRACE MCKELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 KNIGHT ST STE 369, SHREVEPORT, LA 71105-2413
(318) 210-0587
Mailing address
171 PENNSYLVANIA AVE, SHREVEPORT, LA 71105-3317
(318) 990-2001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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