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1770017873
NATASHIA MARYLAND
BOSSIER CITY, LA
NPI
1770017873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-14
Last Update Date
2018-05-29
Business Address
NATASHIA MARYLAND QP
4859 SHED RD
BOSSIER CITY, LA 71111
Phone number: 318-588-5012
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Mailing Address
NATASHIA MARYLAND QP
4859 SHED RD
BOSSIER CITY, LA 71111-5492
Phone number: 318-588-5012
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