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1043683386
CHRISTINA DANIELLE STAFFORD
SHREVEPORT, LA
NPI
1043683386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-09
Last Update Date
2018-04-25
Business Address
Ms. CHRISTINA DANIELLE STAFFORD
2620 CENTENARY BLVD
SHREVEPORT, LA 71104-3356
Phone number: 318-681-9935
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Mailing Address
Ms. CHRISTINA DANIELLE STAFFORD
2620 CENTENARY BLVD
SHREVEPORT, LA 71104-3356
Phone number: 318-681-9935
Copy
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