Individual
JIMMY LAMAR GIDDINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
2924 KNIGHT ST STE 436, SHREVEPORT, LA 71105-2431
(318) 272-2320
Mailing address
2114 E MARSHALL AVE APT 202, LONGVIEW, TX 75601-6900
(903) 431-5309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316398781
—
LA
Enumeration date
07/03/2019
Last updated
07/03/2019
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