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Individual

BREANA PAIGE REMEDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RSW-MHS

Contact information

Practice address
305 S HIGHLAND DR, MANY, LA 71449
(318) 256-5200
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
14685
LA
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/06/2018
Last updated
07/26/2018
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