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1831661792
SHADD PITTMAN
BOGALUSA, LA
NPI
1831661792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 2203782670)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
SHADD PITTMAN
302 RICHMOND ST
BOGALUSA, LA 70427-3942
Phone number: 985-732-2089
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Mailing Address
SHADD PITTMAN
302 RICHMOND ST
BOGALUSA, LA 70427-3942
Phone number: 985-732-2089
Copy
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