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1477063931
TAMAIKA HENDERSON
SHREVEPORT, LA
NPI
1477063931
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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
2017-10-10
Last Update Date
2018-12-27
Business Address
TAMAIKA HENDERSON
2715 MACKEY LN STE 119
SHREVEPORT, LA 71118-2556
Phone number: 318-584-1394
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Mailing Address
TAMAIKA HENDERSON
1373 9TH STREET
GIBSLAND, LA 71028
Phone number:
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