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1659743706
QUENTIN COLLINS
SHREVEPORT, LA
NPI
1659743706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-28
Last Update Date
2018-05-23
Business Address
QUENTIN COLLINS
9000 W WILDERNESS WAY APT 32
SHREVEPORT, LA 71106
Phone number: 318-675-9101
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Mailing Address
QUENTIN COLLINS
9000 W WILDERNESS WAY APT 32
SHREVEPORT, LA 71106-6832
Phone number: 318-675-9101
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