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NPI Code Detail

MEDICARE: MRS. KEDRIA L HECTOR MSW

MEDICARE: MRS. KEDRIA L HECTOR MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker7181LA

General Provider Information

NPI Number : 1790721330
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KEDRIA L HECTOR MSW
Provider Business Mailing Address
First Line : 6005 FINANCIAL PLZ
Second Line :
City : SHREVEPORT
State : LA
Zip : 71129-2615
Country : US
Telephone Number : 318-632-2040
Fax Number : 318-632-2040
Provider Business Practice Location Address
First Line : 6005 FINANCIAL PLZ
Second Line :
City : SHREVEPORT
State : LA
Zip : 71129-2615
Country : US
Telephone Number : 318-632-2040
Fax Number : 318-632-2040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. KEDRIA L HECTOR MSW” Practice Location

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