RODERICK OWENS

SHREVEPORT, LA
NPI1215300249
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2015-11-13
Last Update Date2018-05-21
Business Address
RODERICK OWENS
1440 HAWN AVE
SHREVEPORT, LA 71107
Phone number: 318-226-5990
Mailing Address
RODERICK OWENS
1440 HAWN AVE
SHREVEPORT, LA 71107-6532
Phone number: 318-226-5990
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