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1144730672
KARDEQUA PHILLIPS
MONROE, LA
NPI
1144730672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-11
Last Update Date
2019-07-18
Business Address
KARDEQUA PHILLIPS
2911 CAMERON ST
MONROE, LA 71201
Phone number: 318-651-9363
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Mailing Address
KARDEQUA PHILLIPS
103 GOLDIE ST APT A
FARMERVILLE, LA 71241-6609
Phone number: 346-774-6027
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