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Latisha Bouldin

NPI 1356983043 · on the registry since 2019 · sole proprietor

Practice

Address: 1301 Youree Dr
Shreveport, LA 71101
Phone: (318) 779-1867
Organisation at this address: Louisiana Education & Addiction Network
Rehabilitation Services Of Northwest Louisiana, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 49

Registry record

Primary taxonomy: Case Manager/Care Coordinator
171M00000X
Sex: Female
Record last updated: 2022-04-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana