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1992165724
FELICIA FORD
SHREVEPORT, LA
NPI
1992165724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-07
Last Update Date
2018-06-14
Business Address
FELICIA FORD
4609 N MARKET ST SUITE A
SHREVEPORT, LA 71107
Phone number: 318-626-5462
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Mailing Address
FELICIA FORD
4609 N MARKET ST SUITE A
SHREVEPORT, LA 71107-2900
Phone number: 318-626-5462
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