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1326405093
STEPHANIE ELLAINE SELF
MANY, LA
NPI
1326405093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-01-26
Last Update Date
2018-07-26
Business Address
STEPHANIE ELLAINE SELF RSW
305 S HIGHLAND DR
MANY, LA 71449
Phone number: 318-256-5200
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Mailing Address
STEPHANIE ELLAINE SELF RSW
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-742-3408
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