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1487014080
TROY PARKS
SHREVEPORT, LA
NPI
1487014080
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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
2016-02-25
Last Update Date
2018-08-02
Business Address
TROY PARKS MHS
404 HEARNE AVE
SHREVEPORT, LA 71103
Phone number: 318-716-1369
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Mailing Address
TROY PARKS MHS
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
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