Individual
CHRISTOPHER JEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6912 CASA CV, SHREVEPORT, LA 71129
(318) 572-8107
Mailing address
6912 CASA CV, SHREVEPORT, LA 71129-2502
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
05/22/2018
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