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1366984312
DEMETRIA CARTER
SHREVEPORT, LA
NPI
1366984312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-08
Last Update Date
2018-05-23
Business Address
DEMETRIA CARTER
4164 MCMICHAEL AVE
SHREVEPORT, LA 71119
Phone number: 318-453-1025
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Mailing Address
DEMETRIA CARTER
4164 MCMICHAEL AVE
SHREVEPORT, LA 71119-7518
Phone number: 318-453-1025
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