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1982176186
CASSANDRA DICKERSON
SHREVEPORT, LA
NPI
1982176186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
CASSANDRA DICKERSON
3200 MONTANA ST
SHREVEPORT, LA 71107-4433
Phone number: 318-936-3542
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Mailing Address
CASSANDRA DICKERSON
3200 MONTANA ST
SHREVEPORT, LA 71107-4433
Phone number: 318-936-3542
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