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Individual

DELDECARLEO MONTREZ WALKER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 862-3554
Mailing address
8913 ROSEDOWN PL, SHREVEPORT, LA 71118-2308
(318) 205-9711

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/01/2025
Last updated
04/01/2025
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