Individual
AMY KRISTEN-LEE DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 LINWOOD AVE, SHREVEPORT, LA 71103
(305) 299-5152
(318) 636-4196
Mailing address
PO BOX 1037, OIL CITY, LA 71061-1037
(318) 564-2503
(318) 636-4194
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
07/05/2018
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