Most Relevant Information
Provider Data
| NPI Number: | 1003271362 |
| Provider Name: | CORDARO LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/30/2015 |
| Last Updated: | 04/17/2019 |
Provider Practice Location
910 WILTON PL
SHREVEPORT
LA
711072816
Practice Location Phone/Fax
| Phone: | 3184708691 |
| Fax: |
Provider Mailing Location
910 WILTO PLACE
SHREVEPORT
LA
71107
Provider Mailing Phone/Fax
| Phone: | 3184708691 |
| Fax: |