JUSTIN JACOBI MCMILLER

SHREVEPORT, LA
NPI1528750841
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2023-05-24
Last Update Date2023-05-30
Business Address
JUSTIN JACOBI MCMILLER
4035 POWELL ST
SHREVEPORT, LA 71109-7939
Phone number: 318-344-7243
Mailing Address
JUSTIN JACOBI MCMILLER
4035 POWELL ST
SHREVEPORT, LA 71109-7939
Phone number: 318-344-7243
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