Individual
MISS GABRIELLE MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2835 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3864
(318) 347-0655
Mailing address
2020 E 70TH ST STE 301, SHREVEPORT, LA 71105-5332
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
04/13/2023
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