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1033766423
BRANDON RAINWATER
SHREVEPORT, LA
NPI
1033766423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: LA PLC9925)
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-08-21
Last Update Date
2024-10-25
Business Address
BRANDON RAINWATER
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number: 318-429-6938
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Mailing Address
BRANDON RAINWATER
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number: 318-213-1887
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