Individual
CORDAVIDYUN LEVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4308 S GRAND ST, MONROE, LA 71202-6322
(318) 789-1556
Mailing address
4308 S GRAND ST, MONROE, LA 71202-6322
(318) 789-1556
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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