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1043875263
KIM CLARK-GREEN
SHREVEPORT, LA
NPI
1043875263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
Mrs. KIM CLARK-GREEN
4111 METRO DR STE B
SHREVEPORT, LA 71109-6001
Phone number: 318-636-0390
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Mailing Address
Mrs. KIM CLARK-GREEN
4111 METRO DR STE B
SHREVEPORT, LA 71109-6001
Phone number: 318-636-0390
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