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1881327294
FABIA CHARLES
SHREVEPORT, LA
NPI
1881327294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-07-04
Last Update Date
2023-01-31
Business Address
FABIA CHARLES
2921 SILVER PINE LN
SHREVEPORT, LA 71108-5545
Phone number: 318-573-1468
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Mailing Address
FABIA CHARLES
2921 SILVER PINE LN
SHREVEPORT, LA 71108-5545
Phone number: 318-573-1468
Copy
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