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1750069480
LATRENDA DAVIS WALLACE
MONROE, LA
NPI
1750069480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-07-11
Last Update Date
2023-07-11
Business Address
LATRENDA DAVIS WALLACE MHS
2404 FERRAND ST STE 23
MONROE, LA 71201-3233
Phone number: 318-342-9979
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Mailing Address
LATRENDA DAVIS WALLACE MHS
2414 FERRAND ST STE 1
MONROE, LA 71201-3255
Phone number: 318-342-9979
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