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1366024176
PHEADRE GENEA SMITH
SHREVEPORT, LA
NPI
1366024176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-04-22
Last Update Date
2023-12-11
Business Address
PHEADRE GENEA SMITH
2620 CENTENARY BLVD STE 312
SHREVEPORT, LA 71104-3358
Phone number: 318-681-9935
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Mailing Address
PHEADRE GENEA SMITH
9503 TECHE WAY
SHREVEPORT, LA 71118-4321
Phone number: 318-773-3080
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