Individual
CEDRIC THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6811 FAIRFIELD AVENUE, SHREVEPORT, LA 71106
(318) 216-5088
(318) 670-3975
Mailing address
6811 FAIRFIELD AVE, SHREVEPORT, LA 71106-3803
(318) 216-5088
(318) 670-3975
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
04/22/2019
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