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1750883708
TIA YOUNG
SHREVEPORT, LA
NPI
1750883708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-03-06
Last Update Date
2018-05-23
Business Address
Mrs. TIA YOUNG
4601 N MARKET ST
SHREVEPORT, LA 71107
Phone number: 318-424-8735
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Mailing Address
Mrs. TIA YOUNG
4601 N MARKET ST
SHREVEPORT, LA 71107-2971
Phone number: 318-424-8735
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