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1689305211
IVONNA HENDERSON
SHREVEPORT, LA
NPI
1689305211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
Ms. IVONNA HENDERSON
1519 CRESWELL AVE
SHREVEPORT, LA 71101-4774
Phone number: 318-869-1899
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Mailing Address
Ms. IVONNA HENDERSON
6017 KIRSTEN LN
SHREVEPORT, LA 71129-4356
Phone number: 318-572-5871
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