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1962991711
TONYA SHEPHERD
LAKE CHARLES, LA
NPI
1962991711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 007435213)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
TONYA SHEPHERD MHS
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
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Mailing Address
TONYA SHEPHERD MHS
106 JUNIPTER CIRCLE
IOWA, LA 70647
Phone number: 337-602-6391
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