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1053195859
DEDDRICKA BLACKSON
MONROE, LA
NPI
1053195859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
Ms. DEDDRICKA BLACKSON
1401 HUDSON LN STE 139
MONROE, LA 71201-6037
Phone number: 318-651-0086
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Mailing Address
Ms. DEDDRICKA BLACKSON
PO BOX 77053
BATON ROUGE, LA 70879-7053
Phone number: 225-278-8375
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