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1821543521
LATOYTA MANDOSIA
SHREVEPORT, LA
NPI
1821543521
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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
2016-08-23
Last Update Date
2018-07-26
Business Address
LATOYTA MANDOSIA
1513 LINE AVE SUITE 135
SHREVEPORT, LA 71101
Phone number: 318-828-1455
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Mailing Address
LATOYTA MANDOSIA
4860 SHED RD # 264
BOSSIER CITY, LA 71111-5446
Phone number:
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