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1659875219
TAMMI LAYNE RIDER
SHREVEPORT, LA
NPI
1659875219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 6020)
Enumeration Date
2018-03-20
Last Update Date
2018-03-20
Business Address
Ms. TAMMI LAYNE RIDER LCSW
4859 DIXIE GARDEN LOOP
SHREVEPORT, LA 71105-4035
Phone number: 318-525-2145
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Mailing Address
Ms. TAMMI LAYNE RIDER LCSW
4859 DIXIE GARDEN LOOP
SHREVEPORT, LA 71105-4035
Phone number: 318-525-2145
Copy
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