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1003356197
JANET WILLIS
SHREVEPORT, LA
NPI
1003356197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-03-08
Last Update Date
2017-03-08
Business Address
-- JANET WILLIS B.A.
5902 BUNCOMBE RD
SHREVEPORT, LA 71129-4004
Phone number: 318-670-8898
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Mailing Address
-- JANET WILLIS B.A.
PO BOX 29372
SHREVEPORT, LA 71149-9372
Phone number: 318-670-8898
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