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1417494147
KECHIA BREEDLOVE
BOSSIER CITY, LA
NPI
1417494147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-19
Last Update Date
2018-05-21
Business Address
KECHIA BREEDLOVE
2285 BENTON RD SUITE D-103
BOSSIER CITY, LA 71111
Phone number: 318-584-7197
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Mailing Address
KECHIA BREEDLOVE
2285 BENTON RD SUITE D-103
BOSSIER CITY, LA 71111-7933
Phone number: 318-584-7197
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