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Organization

ELITE CLINICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WYONNIE PERRY LCSW-BACS (OWNER)
(318) 426-1708
Entity
Organization

Contact information

Practice address
2620 CENTENARY BLVD STE 201, SHREVEPORT, LA 71104-3350
(318) 946-8527
(318) 946-8527
Mailing address
2620 CENTENARY BLVD STE 201, SHREVEPORT, LA 71104-3350
(318) 946-8527
(318) 946-8527

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251B00000X
Case Management Agency

Other

Enumeration date
06/06/2019
Last updated
07/30/2019
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