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Organization

OASIS INTEGRATED MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE A DANZELL LCSWBACSSAPEAPCISD (SOCIAL WORKER)
(318) 678-8880
Entity
Organization

Contact information

Practice address
820 JORDAN ST, SUITE306, SHREVEPORT, LA 71101-4518
(318) 686-8880
(318) 861-8626
Mailing address
820 JORDAN ST, SUITE306, SHREVEPORT, LA 71101-4518
(318) 686-8880
(318) 861-8626

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
340
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1163104
LA
Enumeration date
02/09/2007
Last updated
03/06/2008
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