NEVADA MARIE GAINES

BOSSIER CITY, LA
NPI1659889996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-01-22
Last Update Date2018-05-29
Business Address
NEVADA MARIE GAINES
4000 AIRLINE DR
BOSSIER CITY, LA 71111
Phone number: 318-588-5012
Mailing Address
NEVADA MARIE GAINES
4000 AIRLINE DR
BOSSIER CITY, LA 71111-2042
Phone number: 318-588-5012
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