Individual
CHASITY O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MACKEY PL STE 119, SHREVEPORT, LA 71118-2527
(318) 771-7707
Mailing address
2715 MACKEY PL STE 119, SHREVEPORT, LA 71118-2527
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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