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1477909828
SHANEQUA JOHNSON
SHREVEPORT, LA
NPI
1477909828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-05-04
Last Update Date
2018-05-21
Business Address
SHANEQUA JOHNSON MHS
1717 MARSHALL ST
SHREVEPORT, LA 71101
Phone number: 318-226-9944
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Mailing Address
SHANEQUA JOHNSON MHS
8450 PARKDALE DR
SHREVEPORT, LA 71108-5322
Phone number: 318-655-3401
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