| Orlise H Aubrey Llc | |
|
6000 Fairfield Ave Shreveport LA 71106-1916 | |
| (318) 861-4357 | |
| Not Available |
| Full Name | Orlise H Aubrey Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6000 Fairfield Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Orlise H. Aubrey (DIRECTOR) |
| Authorized Official Contact | 3188614357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlise H Aubrey Llc 6000 Fairfield Ave Shreveport LA 71106-1916 Ph: (318) 861-4357 | Orlise H Aubrey Llc 6000 Fairfield Ave Shreveport LA 71106-1916 Ph: (318) 861-4357 |
| NPI Number | 1992960090 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 07/28/2008 |
| Medicare PECOS PAC ID | 1355417569 |
|---|---|
| Medicare Enrollment ID | O20080911000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992960090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3101 (Louisiana) | Primary |
| Provider Name | Orlise M Aubrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619135407 PECOS PAC ID: 5890866602 Enrollment ID: I20080911000201 |
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