MADDISON NICOLE BENGE

SHREVEPORT, LA
NPI1518582105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2020-06-10
Last Update Date2021-05-20
Business Address
MADDISON NICOLE BENGE
1434 HAWN AVE
SHREVEPORT, LA 71107-6508
Phone number: 318-675-0224
Mailing Address
MADDISON NICOLE BENGE
6304 WILLOWOOD PL
SHREVEPORT, LA 71107-8113
Phone number: 318-294-4456
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