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1831828037
RONALD RICHARD BOTHEL
SHREVEPORT, LA
NPI
1831828037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 3460)
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
RONALD RICHARD BOTHEL
8932 JEWELLA AVE
SHREVEPORT, LA 71118-2117
Phone number: 318-219-4167
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Mailing Address
RONALD RICHARD BOTHEL
8932 JEWELLA AVE
SHREVEPORT, LA 71118-2117
Phone number: 318-219-4167
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