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1184125023
BRENDA BAHAM
TALLULAH, LA
NPI
1184125023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-26
Last Update Date
2018-05-30
Business Address
BRENDA BAHAM
1705 FELICIA AVE
TALLULAH, LA 71282
Phone number: 318-574-1232
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Mailing Address
BRENDA BAHAM
1700 LAKE ST
LAKE PROVIDENCE, LA 71254-5208
Phone number: 318-559-0551
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