Individual
JASMINE MONTGOMERY MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6015 HEARNE AVE, SHREVEPORT, LA 71108-3803
(318) 213-0904
Mailing address
2429 HIGHWAY 84, MANSFIELD, LA 71052-4613
(318) 614-1309
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
12/15/2023
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