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1750827960
CORETTA SMITH KIMBLE
SHREVEPORT, LA
NPI
1750827960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-01-11
Last Update Date
2019-04-16
Business Address
CORETTA SMITH KIMBLE M.A.
4218 SCENIC DR
SHREVEPORT, LA 71119-7141
Phone number: 318-572-7104
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Mailing Address
CORETTA SMITH KIMBLE M.A.
4218 SCENIC DR
SHREVEPORT, LA 71119-7141
Phone number: 318-572-7104
Copy
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