Individual
ALEXANDRIA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 MILLICENT WAY APT 1028, SHREVEPORT, LA 71115-2248
(318) 588-2999
Mailing address
8501 MILLICENT WAY APT 1028, SHREVEPORT, LA 71115-2248
(318) 588-2999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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