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1710505730
SHAWNDERRICK SCOTT
MONROE, LA
NPI
1710505730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-07
Last Update Date
2020-07-07
Business Address
SHAWNDERRICK SCOTT
1210 STUBBS AVE
MONROE, LA 71201-5622
Phone number: 318-325-8748
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Mailing Address
SHAWNDERRICK SCOTT
1210 STUBBS AVE
MONROE, LA 71201-5622
Phone number: 318-325-8748
Copy
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