Individual
MS. CHIQUETTA MCCRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9403 MANSFIELD RD # A, SHREVEPORT, LA 71118-3815
(318) 861-8938
(318) 862-3554
Mailing address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
(318) 862-3554
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MASTERS
LA
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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