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1033581012
ANGELA DAVIS
JENNINGS, LA
NPI
1033581012
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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
2015-10-29
Last Update Date
2018-05-08
Business Address
ANGELA DAVIS MHS
1615 JOHNSON ST STE C
JENNINGS, LA 70546-3650
Phone number: 337-616-0225
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Mailing Address
ANGELA DAVIS MHS
1615 JOHNSON ST STE C
JENNINGS, LA 70546-3650
Phone number: 337-616-0225
Copy
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