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1477075604
KIMBERLY BOSTON
SHREVEPORT, LA
NPI
1477075604
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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
2017-07-10
Last Update Date
2018-05-09
Business Address
KIMBERLY BOSTON
1434 HAWN AVE STE 12
SHREVEPORT, LA 71107-6508
Phone number: 318-675-0224
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Mailing Address
KIMBERLY BOSTON
1434 HAWN AVE STE 12
SHREVEPORT, LA 71107-6508
Phone number:
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