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1730713587
PEGGY B MAHONEY-CLARK
SHREVEPORT, LA
NPI
1730713587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 10023)
Enumeration Date
2020-03-01
Last Update Date
2020-03-01
Business Address
PEGGY B MAHONEY-CLARK LMSW
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103-4301
Phone number: 318-779-0434
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Mailing Address
PEGGY B MAHONEY-CLARK LMSW
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103-4301
Phone number: 318-779-0434
Copy
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