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1891300513
CANDIS TATYANA EALY
SHREVEPORT, LA
NPI
1891300513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
Ms. CANDIS TATYANA EALY BSW, RSW
2800 YOUREE DR STE 482
SHREVEPORT, LA 71104-3666
Phone number: 318-869-1899
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Mailing Address
Ms. CANDIS TATYANA EALY BSW, RSW
2800 YOUREE DR STE 482
SHREVEPORT, LA 71104-3666
Phone number: 318-773-2972
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