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1861862864
TINA FONTENOT
BATON ROUGE, LA
NPI
1861862864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 11439)
Enumeration Date
2015-10-02
Last Update Date
2022-09-01
Business Address
TINA FONTENOT MSW
11408 LAKE SHERWOOD AVE N STE A
BATON ROUGE, LA 70816-0421
Phone number: 225-261-7143
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Mailing Address
TINA FONTENOT MSW
11408 LAKE SHERWOOD AVE N
BATON ROUGE, LA 70816-0420
Phone number: 225-261-7143
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