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1295392884
BIANCA HALL
SHREVEPORT, LA
NPI
1295392884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-20
Last Update Date
2023-12-12
Business Address
BIANCA HALL
2715 MACKEY PL
SHREVEPORT, LA 71118-2544
Phone number: 318-603-3142
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Mailing Address
BIANCA HALL
809 KINGSTON CT
SHREVEPORT, LA 71118-4117
Phone number: 318-401-8858
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