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1669914891
CHISA TAYLOR
SHREVEPORT, LA
NPI
1669914891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2016-11-04
Last Update Date
2018-10-30
Business Address
MISS CHISA TAYLOR M.A.
2715 MACKEY PL STE 135
SHREVEPORT, LA 71118-2528
Phone number: 318-423-7963
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Mailing Address
MISS CHISA TAYLOR M.A.
2715 MACKEY PL STE 135
SHREVEPORT, LA 71118-2528
Phone number: 318-423-7963
Copy
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