Individual
JEREMY W ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 MARSHALL ST, SHREVEPORT, LA 71101-4139
(318) 226-9944
(318) 226-9942
Mailing address
5209 CARL TER, SHREVEPORT, LA 71109-7317
(972) 469-0676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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