Organization
OASIS INTEGRATED COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE A DANZELL LCSWBACSSAPEAPCISD (SOCIAL WORKER)
(318) 678-8880
Entity
Organization
Contact information
Practice address
820 JORDAN ST, SUITE 306, SHREVEPORT, LA 71101-4518
(318) 678-8880
(318) 861-8626
Mailing address
820 JORDAN ST, SUITE 306, SHREVEPORT, LA 71101-4518
(318) 678-8880
(318) 861-8626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
340
LA
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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