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1053869990
LERITA MARZETT
SHREVEPORT, LA
NPI
1053869990
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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
2016-09-21
Last Update Date
2018-09-11
Business Address
LERITA MARZETT MHP
2715 MACKEY PL
SHREVEPORT, LA 71118-2544
Phone number: 318-220-8423
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Mailing Address
LERITA MARZETT MHP
2715 MACKEY PL
SHREVEPORT, LA 71118-2544
Phone number: 318-220-8423
Copy
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