Individual
D'SHANTI LOCKETT-BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MACKEY PL STE 119, SHREVEPORT, LA 71118-2527
(318) 771-7707
Mailing address
8536 PANATELLA LN, SHREVEPORT, LA 71106-5810
(318) 572-9973
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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