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1396208088
KULICIA ANDERSON
SHREVEPORT, LA
NPI
1396208088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
KULICIA ANDERSON
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103-4301
Phone number: 318-272-3794
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Mailing Address
KULICIA ANDERSON
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103-4301
Phone number: 318-779-0434
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