Individual
CIERA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
856 TEXAS AVE, SHREVEPORT, LA 71101
(318) 560-5706
Mailing address
856 TEXAS AVE, SHREVEPORT, LA 71101-3400
(318) 560-5706
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
10/22/2019
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