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1013389709
SHALENA WILLIS
SHREVEPORT, LA
NPI
1013389709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-21
Last Update Date
2019-05-13
Business Address
SHALENA WILLIS
1301 YOUREE DR
SHREVEPORT, LA 71101-5117
Phone number: 318-675-0804
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Mailing Address
SHALENA WILLIS
1301 YOUREE DR
SHREVEPORT, LA 71101-5117
Phone number: 318-675-0804
Copy
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