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1902334931
REGINALD SHAFFER
BATON ROUGE, LA
NPI
1902334931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-03
Last Update Date
2022-07-21
Business Address
REGINALD SHAFFER
13621 KENNER AVE APT C
BATON ROUGE, LA 70810
Phone number: 225-571-4184
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Mailing Address
REGINALD SHAFFER
13621 KENNER AVE APT C
BATON ROUGE, LA 70810-9102
Phone number: 225-571-4184
Copy
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