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1578893251
TIA ANN MCKOIN
SHREVEPORT, LA
NPI
1578893251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 4610)
Enumeration Date
2010-01-03
Last Update Date
2010-01-03
Business Address
-- TIA ANN MCKOIN LCSW
10007 SARATOGA DR
SHREVEPORT, LA 71115-3479
Phone number: 318-779-0196
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Mailing Address
-- TIA ANN MCKOIN LCSW
10007 SARATOGA DR
SHREVEPORT, LA 71115-3479
Phone number: 318-779-0196
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