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1992247860
REMERSON EDWARDS
SHREVEPORT, LA
NPI
1992247860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-09
Last Update Date
2021-04-09
Business Address
REMERSON EDWARDS
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
REMERSON EDWARDS
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Copy
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