Most Relevant Information
Provider Data
| NPI Number: | 1003581851 |
| Provider Name: | DEON THORNTON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/13/2021 |
| Last Updated: | 08/13/2021 |
Provider Practice Location
2924 KNIGHT ST STE 369
SHREVEPORT
LA
711052413
Practice Location Phone/Fax
| Phone: | 3182100587 |
| Fax: |
Provider Mailing Location
2924 KNIGHT ST STE 369
SHREVEPORT
LA
711052413
Provider Mailing Phone/Fax
| Phone: | 3182100587 |
| Fax: |