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1992365340
RAVEN JANEEN KING-SMITH
SHREVEPORT, LA
NPI
1992365340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: LA 17066)
Enumeration Date
2019-06-18
Last Update Date
2024-07-24
Business Address
RAVEN JANEEN KING-SMITH
6109 AMBLESIDE DR
SHREVEPORT, LA 71129-7112
Phone number: 318-518-3553
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Mailing Address
RAVEN JANEEN KING-SMITH
6109 AMBLESIDE DR
SHREVEPORT, LA 71129
Phone number: 318-518-3553
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