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1003451592
LAVETTE BLACK
SHREVEPORT, LA
NPI
1003451592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-08
Last Update Date
2019-11-08
Business Address
LAVETTE BLACK
6515 GREENWOOD RD
SHREVEPORT, LA 71119-8304
Phone number: 318-205-9968
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Mailing Address
LAVETTE BLACK
2800 YOUREE DR STE 120
SHREVEPORT, LA 71104-3667
Phone number: 318-562-6271
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