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1003271362
CORDARO LEE
SHREVEPORT, LA
NPI
1003271362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-30
Last Update Date
2019-04-17
Business Address
CORDARO LEE
910 WILTON PL
SHREVEPORT, LA 71107-2816
Phone number: 318-470-8691
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Mailing Address
CORDARO LEE
910 WILTO PLACE
SHREVEPORT, LA 71107
Phone number: 318-470-8691
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