Individual
MRS. JENNIFER SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N THOMAS DR, 1A, SHREVEPORT, LA 71107-6503
(318) 424-8345
(318) 424-4417
Mailing address
200 N THOMAS DR, 1A, SHREVEPORT, LA 71107-6503
(318) 424-8345
(318) 424-4417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/29/2018
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