Individual
EVAN DEWAYNE DURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Mailing address
6104 DONCASTER DR, SHREVEPORT, LA 71129-3918
(318) 751-3353
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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