TERESA OCTAVIA CLARK

SHREVEPORT, LA
NPI1962931733
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-06-06
Last Update Date2019-08-14
Business Address
TERESA OCTAVIA CLARK QP
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Mailing Address
TERESA OCTAVIA CLARK QP
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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