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1780127464
TIERNEY WASHINGTON
SHREVEPORT, LA
NPI
1780127464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-11-29
Last Update Date
2018-05-23
Business Address
TIERNEY WASHINGTON
4565 N MARKET ST APT 402
SHREVEPORT, LA 71107
Phone number: 318-450-0969
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Mailing Address
TIERNEY WASHINGTON
4565 N MARKET ST APT 1401
SHREVEPORT, LA 71107-2860
Phone number: 318-450-0969
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