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1710423090
DEANDRE ALEXANDER
SHREVEPORT, LA
NPI
1710423090
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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
2017-01-11
Last Update Date
2018-11-26
Business Address
DEANDRE ALEXANDER
2715 MACKEY PL
SHREVEPORT, LA 71118-2544
Phone number: 318-220-8423
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Mailing Address
DEANDRE ALEXANDER
3522 MCCOY ST
ARCADIA, LA 71001-4218
Phone number:
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