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1760856728
LATOYA RENEE IVORY
SHREVEPORT, LA
NPI
1760856728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 11895)
Enumeration Date
2015-11-13
Last Update Date
2022-04-27
Business Address
LATOYA RENEE IVORY RSW
1111 HAWN AVE
SHREVEPORT, LA 71107
Phone number: 318-621-0910
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Mailing Address
LATOYA RENEE IVORY RSW
1111 HAWN AVE
SHREVEPORT, LA 71107-6642
Phone number: 318-621-0910
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