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1003288903
MALVANESE WILLIAMS
SHREVEPORT, LA
NPI
1003288903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-30
Last Update Date
2018-11-02
Business Address
MALVANESE WILLIAMS
809 COLLEGE ST
SHREVEPORT, LA 71104-2928
Phone number: 318-658-6099
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Mailing Address
MALVANESE WILLIAMS
809 COLLEGE ST
SHREVEPORT, LA 71104-2928
Phone number: 318-658-6099
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