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1770947764
JIQUIAH WHITE
ALEXANDRIA, LA
NPI
1770947764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-04-06
Last Update Date
2018-05-17
Business Address
JIQUIAH WHITE
2016 INNIS DR
ALEXANDRIA, LA 71303
Phone number: 318-290-8759
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Mailing Address
JIQUIAH WHITE
2016 INNIS DR
ALEXANDRIA, LA 71303-4736
Phone number: 318-290-8759
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