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1205848231
TRELLA C MALPASS
SHREVEPORT, LA
NPI
1205848231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 4299)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
-- TRELLA C MALPASS MSW,LCSW
510 E STONER AVE 116
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
-- TRELLA C MALPASS MSW,LCSW
510 E STONER AVE 116
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Copy
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