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1013454917
TIMIKA JONES TISDALE
SHREVEPORT, LA
NPI
1013454917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 006687357)
Enumeration Date
2017-01-30
Last Update Date
2017-01-30
Business Address
Ms. TIMIKA JONES TISDALE
6051 ROMA DR APT 109
SHREVEPORT, LA 71105-4663
Phone number: 318-402-2566
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Mailing Address
Ms. TIMIKA JONES TISDALE
6051 ROMA DR APT 109
SHREVEPORT, LA 71105-4663
Phone number: 318-402-2566
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