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1174075725
JESSICA NICOLE VANCE
SHREVEPORT, LA
NPI
1174075725
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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
2016-10-31
Last Update Date
2018-11-01
Business Address
Miss JESSICA NICOLE VANCE
2715 MACKEY PL SUITE 135
SHREVEPORT, LA 71118-2544
Phone number: 318-220-8423
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Mailing Address
Miss JESSICA NICOLE VANCE
2715 MACKEY PL SUITE 135
SHREVEPORT, LA 71118-2544
Phone number: 318-220-8423
Copy
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