Individual
NIKKI PORTERIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
(318) 429-6938
Mailing address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17309
LA
171M00000X
Case Manager/Care Coordinator
17309
LA
Other
Enumeration date
09/02/2022
Last updated
12/15/2022
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