Individual
AMY CORDOVA BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6809 FAIRFIELD AVE, SHREVEPORT, LA 71106-3803
(318) 216-5088
Mailing address
2002 RIVER RD, SHREVEPORT, LA 71105-3832
(956) 463-4079
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9808
LA
Other
Enumeration date
08/08/2023
Last updated
11/19/2023
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