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NPI 1639717853

IndividualActive

Andrea Bloodworth

NPI 1639717853 · Peer Specialist · Shreveport, LA

Provider details

NPI number: 1639717853
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: Yes

Practice location

3625 Youree Dr

Shreveport, LA 71105-2121

Phone: (318) 779-1158

More LA providers

Mailing address

8326 Kelwood Ave

Baton Rouge, LA 70806-4803

Registry dates

Enumerated: 2019-12-18
Last updated: 2020-06-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrea Bloodworth — NPI 1639717853, Shreveport, LA | NPI Central