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1073985016
DARRICK KINCHEN
SHREVEPORT, LA
NPI
1073985016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-29
Last Update Date
2018-05-24
Business Address
DARRICK KINCHEN
4209 MADERA DR
SHREVEPORT, LA 71119
Phone number: 318-820-6450
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Mailing Address
DARRICK KINCHEN
4209 MADERA DR
SHREVEPORT, LA 71119-7722
Phone number: 318-820-6450
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