Individual
CHAMICA R BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MACKEY PL STE 135, SHREVEPORT, LA 71118-2528
(318) 222-8423
(318) 220-8573
Mailing address
2715 MACKEY PL STE 135, SHREVEPORT, LA 71118-2528
(318) 560-8715
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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