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Individual

JONATHAN RITTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
103 N 5TH ST, LEESVILLE, LA 71446
(337) 238-4350
Mailing address
2525 YOUREE DR. SUITE 110, SHREVEPORT, LA 71446
(859) 200-7665

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/19/2017
Last updated
01/19/2017
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