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1386004505
RICKSHARD HENDERSON
SHREVEPORT, LA
NPI
1386004505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-03-01
Last Update Date
2016-03-01
Business Address
-- RICKSHARD HENDERSON
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106-3803
Phone number: 318-216-5088
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Mailing Address
-- RICKSHARD HENDERSON
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106-3803
Phone number: 318-216-5088
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