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1316304223
NAOMI GRANTHAM
SHREVEPORT, LA
NPI
1316304223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-01-22
Last Update Date
2018-07-26
Business Address
NAOMI GRANTHAM
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-742-3408
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Mailing Address
NAOMI GRANTHAM
12051 HWY. 84 W
JENA, LA 71342
Phone number: 318-992-5008
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