WILLIE JEFFERSON

SHREVEPORT, LA
NPI1689297046
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-05-20
Last Update Date2021-04-01
Business Address
WILLIE JEFFERSON MA
1533 MARSHALL ST
SHREVEPORT, LA 71101-3941
Phone number: 318-626-5597
Mailing Address
WILLIE JEFFERSON MA
620 N FARMERVILLE ST
RUSTON, LA 71270-3985
Phone number:
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