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1346447315
GERALDINE MACK
SHREVEPORT, LA
NPI
1346447315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 3681)
Enumeration Date
2007-07-02
Last Update Date
2007-07-08
Business Address
-- GERALDINE MACK lcsw
1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899
Phone number: 318-425-2252
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Mailing Address
-- GERALDINE MACK lcsw
1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899
Phone number: 318-425-2252
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