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Organization
SKYLINE MANAGEMENT GROUP
Active
Organization
SKYLINE MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY LESTER (ADMINSTRATOR)
(318) 207-1038
Entity
Organization
Contact information
Practice address
820 JORDAN ST STE 465, SHREVEPORT, LA 71101-4526
(318) 207-1038
Mailing address
820 JORDAN ST STE 465, SHREVEPORT, LA 71101-4526
(318) 207-1038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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