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1396118105
TIERENE D JORDAN
SHREVEPORT, LA
NPI
1396118105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-11-03
Last Update Date
2022-10-19
Business Address
Ms. TIERENE D JORDAN MS, MA
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-497-3067
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Mailing Address
Ms. TIERENE D JORDAN MS, MA
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106-3803
Phone number: 318-216-5088
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