Individual
JAUHIDA SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MACKEY PL, SHREVEPORT, LA 71118-2544
(318) 220-8423
(318) 220-8573
Mailing address
2715 MACKEY PL, SHREVEPORT, LA 71118-2544
(318) 220-8423
(318) 220-8573
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760852511
COUNSELING AGENCY
LA
Enumeration date
10/30/2015
Last updated
02/01/2024
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