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1659126415
AMANDA WAITS
SHREVEPORT, LA
NPI
1659126415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 8724)
Enumeration Date
2024-04-23
Last Update Date
2024-04-23
Business Address
AMANDA WAITS
2226 MURPHY ST
SHREVEPORT, LA 71103-2549
Phone number: 318-344-3256
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Mailing Address
AMANDA WAITS
2226 MURPHY ST
SHREVEPORT, LA 71103-2549
Phone number: 318-603-6829
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