Individual
CHARLES COREY DEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 YOUREE DR STE 482, SHREVEPORT, LA 71104-3666
(318) 869-1899
Mailing address
2800 YOUREE DR STE 482, SHREVEPORT, LA 71104-3666
(318) 869-1899
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
007944626
LA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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