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1902511710
LISA KAY ANNA BOUDREAUX
SHREVEPORT, LA
NPI
1902511710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
LISA KAY ANNA BOUDREAUX
160 COLLEGE ST
SHREVEPORT, LA 71104-2508
Phone number: 318-801-2930
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Mailing Address
LISA KAY ANNA BOUDREAUX
160 COLLEGE ST
SHREVEPORT, LA 71104-2508
Phone number: 318-801-2930
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