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1164017026
DEMETRICK DARNELL ROBERTSON
SHREVEPORT, LA
NPI
1164017026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
DEMETRICK DARNELL ROBERTSON
1533 MARSHALL ST
SHREVEPORT, LA 71101-3941
Phone number: 318-626-5597
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Mailing Address
DEMETRICK DARNELL ROBERTSON
1533 MARSHALL ST
SHREVEPORT, LA 71101-3941
Phone number: 318-626-5597
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