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1457804890
ANTHONY THOMAS
SHREVEPORT, LA
NPI
1457804890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-02
Last Update Date
2018-06-11
Business Address
ANTHONY THOMAS
4609 N MARKET ST STE A
SHREVEPORT, LA 71107
Phone number: 318-626-5462
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Mailing Address
ANTHONY THOMAS
4609 N MARKET ST STE A
SHREVEPORT, LA 71107-2900
Phone number: 318-626-5462
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