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1467944793
CHARLES WINBORNE
SHREVEPORT, LA
NPI
1467944793
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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
2018-06-01
Last Update Date
2018-06-01
Business Address
CHARLES WINBORNE
2800 YOUREE DR STE 482
SHREVEPORT, LA 71104-3666
Phone number: 318-869-1899
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Mailing Address
CHARLES WINBORNE
2800 YOUREE DR STE 482
SHREVEPORT, LA 71104-3666
Phone number:
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