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1275285793
LAZARIA S CLARK
SHREVEPORT, LA
NPI
1275285793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-01-25
Last Update Date
2022-01-26
Business Address
Ms. LAZARIA S CLARK
2800 YOUREE DR
SHREVEPORT, LA 71104-3661
Phone number: 318-869-1899
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Mailing Address
Ms. LAZARIA S CLARK
PO BOX 10
COUSHATTA, LA 71019-0010
Phone number: 318-525-2543
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