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1396325189
TAIWANNESHA LASHAWN PORTER
OPELOUSAS, LA
NPI
1396325189
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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
2021-04-14
Last Update Date
2021-07-06
Business Address
TAIWANNESHA LASHAWN PORTER
158 AMARETTO DR
OPELOUSAS, LA 70570-0793
Phone number: 337-290-9016
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Mailing Address
TAIWANNESHA LASHAWN PORTER
158 AMARETTO DR
OPELOUSAS, LA 70570-0793
Phone number: 337-290-9016
Copy
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