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1629703186
STEPHANIE STILLS-LOGAN
SHREVEPORT, LA
NPI
1629703186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
Mrs. STEPHANIE STILLS-LOGAN
3771 ELMER LN
SHREVEPORT, LA 71109-2023
Phone number: 318-525-5498
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Mailing Address
Mrs. STEPHANIE STILLS-LOGAN
3771 ELMER LN
SHREVEPORT, LA 71109-2023
Phone number: 318-525-5498
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