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1568985901
LAQUANISHA CROCKETT
SHREVEPORT, LA
NPI
1568985901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-07-18
Last Update Date
2018-06-04
Business Address
LAQUANISHA CROCKETT
800 SPRING ST STE 205
SHREVEPORT, LA 71101
Phone number: 318-670-3170
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Mailing Address
LAQUANISHA CROCKETT
800 SPRING ST STE 205
SHREVEPORT, LA 71101-3757
Phone number: 318-670-3170
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