MARQUITA LARAE BOUTTE'

SHREVEPORT, LA
NPI1578929824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-12-31
Last Update Date2020-12-14
Business Address
MARQUITA LARAE BOUTTE' BA
3003 KNIGHT ST STE 115
SHREVEPORT, LA 71105-2561
Phone number: 318-398-0945
Mailing Address
MARQUITA LARAE BOUTTE' BA
3003 KNIGHT ST
SHREVEPORT, LA 71105-2507
Phone number: 318-227-8390
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