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Individual

CHARLOTTE A BORST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1533 MARSHALL ST, SHREVEPORT, LA 71101-3941
(318) 626-5597
(318) 626-5691
Mailing address
7800 YOUREE DR APT 1311, SHREVEPORT, LA 71105-5526
(318) 305-1154

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/17/2025
Last updated
11/19/2025
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