Individual
ELISHA COLLINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 KNIGHT ST STE 115, SHREVEPORT, LA 71105-2561
(318) 227-8390
Mailing address
3003 KNIGHT ST STE 115, SHREVEPORT, LA 71105-2561
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
10/26/2015
Last updated
10/03/2023
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