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1154901627
CHARLETTE STANLEY
SHREVEPORT, LA
NPI
1154901627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
CHARLETTE STANLEY
6022 FOX CHASE TRL
SHREVEPORT, LA 71129-3505
Phone number: 318-560-5351
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Mailing Address
CHARLETTE STANLEY
6022 FOX CHASE TRL
SHREVEPORT, LA 71129-3505
Phone number: 318-560-5351
Copy
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