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1598130320
T'ANITA KING
SHREVEPORT, LA
NPI
1598130320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-04
Last Update Date
2018-07-20
Business Address
T'ANITA KING
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Phone number: 318-779-0434
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Mailing Address
T'ANITA KING
1513 LINE AVE SUITE 230
SHREVEPORT, LA 71101-4621
Phone number: 318-670-8858
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