TYIANA RENEE DICKERSON

BOSSIER CITY, LA
NPI1295182194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2016-05-20
Last Update Date2019-05-09
Business Address
TYIANA RENEE DICKERSON
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA 71112-2497
Phone number: 318-746-1935
Mailing Address
TYIANA RENEE DICKERSON
122 SCHOOLHOUSE RD APT. 5
CLOUTIERVILLE, LA 71416-2019
Phone number: 504-512-0778
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