ANTHONY TISDALE

SHREVEPORT, LA
NPI1588245690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-04-20
Last Update Date2023-03-16
Business Address
ANTHONY TISDALE
5704 SWEETWATER DR
SHREVEPORT, LA 71119-4018
Phone number: 318-402-2418
Mailing Address
ANTHONY TISDALE
5704 SWEETWATER DR
SHREVEPORT, LA 71119-4018
Phone number: 318-402-2418
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