Individual
JASMINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
(318) 213-1860
Mailing address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
(225) 806-5854
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
16414
LA
Other
Enumeration date
07/24/2023
Last updated
07/27/2023
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