Individual
JARED SPEYRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1434 HAWN AVE, SUITE 12, SHREVEPORT, LA 71107-6508
(318) 675-0224
Mailing address
1434 HAWN AVE, SUITE 12, SHREVEPORT, LA 71107-6508
(318) 675-0224
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
04/10/2017
Last updated
07/25/2019
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