Individual
JADE STOGSDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 219-4197
Mailing address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
07/30/2019
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