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1710685128
RESIDUAL CARE LLC
SHREVEPORT, LA
NPI
1710685128
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Entity Type
Organization
Authorized Contact
VERONICA BLAZE
Owner
318-459-7702
Organization Subpart ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2023-02-16
Last Update Date
2024-04-04
Business Address
RESIDUAL CARE LLC
8575 FERN AVE STE 108
SHREVEPORT, LA 71105-5677
Phone number: 318-459-7702
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Mailing Address
RESIDUAL CARE LLC
679 KINGS TOWNE PL
SHREVEPORT, LA 71108-6034
Phone number: 318-399-2274
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