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1366175895
RENALDA STAFFORD
SHREVEPORT, LA
NPI
1366175895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-07-01
Last Update Date
2023-02-15
Business Address
RENALDA STAFFORD
4718 HEARNE AVE
SHREVEPORT, LA 71108-2703
Phone number: 318-828-1521
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Mailing Address
RENALDA STAFFORD
303 CARMELITA DR
GRAND CANE, LA 71032-6159
Phone number:
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