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Individual

CIARA GOLDSBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
525 ALEXANDER ST, JONESBORO, LA 71251-2001
(318) 259-4676
(318) 259-4677
Mailing address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
(318) 862-3554

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598220840
LA
Enumeration date
01/31/2019
Last updated
01/19/2020
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