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1790344091
DEMETRICH M WHITE
SHREVEPORT, LA
NPI
1790344091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
DEMETRICH M WHITE MHS
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-658-4133
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Mailing Address
DEMETRICH M WHITE MHS
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-658-4133
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