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1275118879
PORSHA LYNNIECE CLARK
SHREVEPORT, LA
NPI
1275118879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-03-15
Last Update Date
2021-03-15
Business Address
PORSHA LYNNIECE CLARK
1533 MARSHALL ST
SHREVEPORT, LA 71101-3941
Phone number: 318-626-5597
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Mailing Address
PORSHA LYNNIECE CLARK
1533 MARSHALL ST
SHREVEPORT, LA 71101-3941
Phone number: 318-626-5597
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