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1497247514
REANELL JAVON SMALLWOOD
METAIRIE, LA
NPI
1497247514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-04
Last Update Date
2023-03-06
Business Address
REANELL JAVON SMALLWOOD
4201 N INTERSTATE 10 SERVICE RD W
METAIRIE, LA 70006-6212
Phone number: 504-641-4319
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Mailing Address
REANELL JAVON SMALLWOOD
350 FAIRWAY DR STE 101
DEERFIELD BEACH, FL 33441-1834
Phone number: 877-418-2978
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