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1720599756
LATANEIL FARLEY
SHREVEPORT, LA
NPI
1720599756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-17
Last Update Date
2022-02-24
Business Address
LATANEIL FARLEY
3003 KNIGHT ST STE 115
SHREVEPORT, LA 71105-2561
Phone number: 318-227-8390
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Mailing Address
LATANEIL FARLEY
3751 CRESTVIEW DR
SHREVEPORT, LA 71119-6525
Phone number: 318-402-2014
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