JORDAN LEWIS

SHREVEPORT, LA
NPI1053857185
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2017-01-12
Last Update Date2019-03-20
Business Address
JORDAN LEWIS
1500 N MARKET ST SUITE C104
SHREVEPORT, LA 71107-6537
Phone number: 319-626-5597
Mailing Address
JORDAN LEWIS
1500 N MARKET ST SUITE C104
SHREVEPORT, LA 71107-6537
Phone number:
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