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1912425935
MILDRED RIVERS
SHREVEPORT, LA
NPI
1912425935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-30
Last Update Date
2023-01-04
Business Address
MILDRED RIVERS
4718 HEARNE AVE
SHREVEPORT, LA 71108
Phone number: 318-828-1521
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Mailing Address
MILDRED RIVERS
4718 HEARNE AVE
SHREVEPORT, LA 71108-2703
Phone number: 318-828-1521
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