Individual
ANDREA BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 BETTY ST, SHREVEPORT, LA 71108-5553
(318) 865-2311
(318) 865-2312
Mailing address
2605 BETTY ST, SHREVEPORT, LA 71108-5553
(318) 865-2311
(318) 865-2312
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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