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1174150296
SOPHIA SHARON NIVOLO
LAFAYETTE, LA
NPI
1174150296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-03-26
Last Update Date
2021-05-12
Business Address
SOPHIA SHARON NIVOLO
1017 SAINT JOHN ST
LAFAYETTE, LA 70501-6711
Phone number: 339-292-0417
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Mailing Address
SOPHIA SHARON NIVOLO
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number:
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