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Individual

MRS. SARAH MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLPC

Contact information

Practice address
1303 LINE AVE, SHREVEPORT, LA 71101-4628
(183) 425-3400
(183) 425-3447
Mailing address
1303 LINE AVE, SHREVEPORT, LA 71101-4628
(183) 425-3400
(183) 425-3447

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC8494
LA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
09/11/2020
Last updated
12/08/2022
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