Individual
MRS. AMBER JADE CONLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 YOUREE DR, SHREVEPORT, LA 71101-5117
(318) 675-0804
Mailing address
1301 YOUREE DR, SHREVEPORT, LA 71101-5117
(318) 675-0804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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