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1609246859
LISA KING
BOSSIER CITY, LA
NPI
1609246859
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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
2015-09-30
Last Update Date
2018-07-19
Business Address
LISA KING
400 PRESTON BLVD
BOSSIER CITY, LA 71111
Phone number: 318-344-1250
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Mailing Address
LISA KING
400 PRESTON BLVD
BOSSIER CITY, LA 71111-4913
Phone number: 318-344-1250
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