Individual
JEVANNICA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3341 YOUREE DR STE 10B, SHREVEPORT, LA 71105-2149
(318) 584-7166
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(318) 584-7166
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16240
LA
Other
Enumeration date
07/24/2018
Last updated
09/23/2025
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