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1053765701
ROUSHANDA HALLMON
SHREVEPORT, LA
NPI
1053765701
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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
2016-04-19
Last Update Date
2018-06-12
Business Address
ROUSHANDA HALLMON
4609 N MARKET ST STE. A
SHREVEPORT, LA 71107
Phone number: 318-626-5462
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Mailing Address
ROUSHANDA HALLMON
4609 N MARKET ST STE. A
SHREVEPORT, LA 71107-2900
Phone number: 318-626-5462
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