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Individual

MR. JARED DEWAINE LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MP

Contact information

Practice address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 449-4474
Mailing address
1000 CHINABERRY DR STE 902, BOSSIER CITY, LA 71111-2455

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/23/2019
Last updated
09/23/2020
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