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1750803375
PORSCHE L COLVIN
MONROE, LA
NPI
1750803375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-14
Last Update Date
2018-07-30
Business Address
PORSCHE L COLVIN
806 N 31ST ST STE D
MONROE, LA 71201
Phone number: 318-855-3868
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Mailing Address
PORSCHE L COLVIN
806 N 31ST ST STE D
MONROE, LA 71201-3900
Phone number: 318-855-3868
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