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1336696806
TOVORAS LEE
SHREVEPORT, LA
NPI
1336696806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-09-01
Last Update Date
2019-04-17
Business Address
TOVORAS LEE
2715 MACKE PLACE 135
SHREVEPORT, LA 71118
Phone number: 318-220-8423
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Mailing Address
TOVORAS LEE
2715 MACKEY PL 135
SHREVEPORT, LA 71118-2544
Phone number:
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