DEANICHANTEY BROCKETT

SHREVEPORT, LA
NPI1245744259
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2017-11-29
Last Update Date2017-11-29
Business Address
DEANICHANTEY BROCKETT
3341 YOUREE DR STE 205
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4167
Mailing Address
DEANICHANTEY BROCKETT
3341 YOUREE DR STE 205
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4167
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