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1013508621
VERENA ARDISON
SHREVEPORT, LA
NPI
1013508621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-01-27
Last Update Date
2022-06-16
Business Address
Mrs. VERENA ARDISON
8919 HAWTHORNE DR
SHREVEPORT, LA 71118-2615
Phone number: 318-573-5612
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Mailing Address
Mrs. VERENA ARDISON
8919 HAWTHORNE DR
SHREVEPORT, LA 71118-2615
Phone number: 318-573-5612
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