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1184174070
TAWONNA THOMAS
SHREVEPORT, LA
NPI
1184174070
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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
2016-10-04
Last Update Date
2018-09-07
Business Address
TAWONNA THOMAS
1513 LINE AVE # 135
SHREVEPORT, LA 71101
Phone number: 318-828-1455
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Mailing Address
TAWONNA THOMAS
1513 LINE AVE # 135
SHREVEPORT, LA 71101-4621
Phone number: 318-828-1455
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