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1811348816
ERICA BONNER
SHREVEPORT, LA
NPI
1811348816
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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
2016-06-30
Last Update Date
2018-05-17
Business Address
ERICA BONNER
1513 LINE AVE SUITE 315
SHREVEPORT, LA 71101
Phone number: 318-221-2828
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Mailing Address
ERICA BONNER
1513 LINE AVE SUITE 315
SHREVEPORT, LA 71101-4621
Phone number: 318-221-2828
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