LATAVIA JENELLE MCCLAIN

RUSTON, LA
NPI1710475561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-04-27
Last Update Date2018-04-27
Business Address
LATAVIA JENELLE MCCLAIN
829 E GEORGIA AVE STE 3
RUSTON, LA 71270-3901
Phone number: 318-242-0730
Mailing Address
LATAVIA JENELLE MCCLAIN
PO BOX 705
GRAMBLING, LA 71245-0705
Phone number: 318-548-3139
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