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1033569827
QUASEAN NICHOLSON
SHREVEPORT, LA
NPI
1033569827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-06-13
Last Update Date
2018-05-18
Business Address
QUASEAN NICHOLSON Mental health specia
4601 N MARKET ST STE. 2
SHREVEPORT, LA 71107
Phone number: 318-424-8735
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Mailing Address
QUASEAN NICHOLSON Mental health specia
6100 MASTERS DR
SHREVEPORT, LA 71129-4118
Phone number: 318-573-0737
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