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1578158143
LAVERA J WHITE
SHREVEPORT, LA
NPI
1578158143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-03-05
Last Update Date
2021-04-19
Business Address
LAVERA J WHITE
6800 RASBERRY LN APT 1005
SHREVEPORT, LA 71129-2522
Phone number: 318-754-2504
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Mailing Address
LAVERA J WHITE
PO BOX 37511
SHREVEPORT, LA 71133-7511
Phone number: 318-754-2504
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