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1932878758
DENISE DOUGLAS MACK
SHREVEPORT, LA
NPI
1932878758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-09-07
Last Update Date
2021-09-08
Business Address
DENISE DOUGLAS MACK
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
DENISE DOUGLAS MACK
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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