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1003353509
STEPHANIE SPELLS
SHREVEPORT, LA
NPI
1003353509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-23
Last Update Date
2018-05-17
Business Address
STEPHANIE SPELLS
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-773-4436
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Mailing Address
STEPHANIE SPELLS
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-773-4436
Copy
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