Constance Colettle Ellis
Constance Colettle Ellis is a Case Manager/Care Coordinator in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
9245 Wallace Lake Rd Ste AShreveport, LA 71106
Phone: (318) 221-2828
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1104337856 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 21, 2017 |
| Last updated in NPPES | May 17, 2018 |
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