KENISHA PUCKETT-THREATS

SHREVEPORT, LA
NPI1295494185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-12-08
Last Update Date2021-12-08
Business Address
KENISHA PUCKETT-THREATS
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Mailing Address
KENISHA PUCKETT-THREATS
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number:
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