Individual
JAMAAL STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2620 CENTENARY BLVD, SUITE 207, SHREVEPORT, LA 71104-3356
(318) 626-5657
Mailing address
532 SHELTON ST, PLAIN DEALING, LA 71064-3404
(318) 465-6415
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
12/20/2018
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