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1255840831
SHANEQUE S CLARK
NATCHITOCHES, LA
NPI
1255840831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2017-09-26
Last Update Date
2022-07-21
Business Address
SHANEQUE S CLARK
430 DIXIE PLAZA
NATCHITOCHES, LA 71457
Phone number: 318-357-9009
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Mailing Address
SHANEQUE S CLARK
430 DIXIE PLZ
NATCHITOCHES, LA 71457-5881
Phone number: 318-357-9009
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