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1013441310
MARY WASHINGTON
SHREVEPORT, LA
NPI
1013441310
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Former Name
MARY WASHINGTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- MARY WASHINGTON Masters
348 W 79TH ST
SHREVEPORT, LA 71106-4820
Phone number: 318-688-8190
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Mailing Address
-- MARY WASHINGTON Masters
348 W 79TH ST
SHREVEPORT, LA 71106-4820
Phone number: 318-688-8190
Copy
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