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1023713211
JOHNETTA PATRICE BANKS
SHREVEPORT, LA
NPI
1023713211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
Dr. JOHNETTA PATRICE BANKS
1513 LINE AVENUE
SHREVEPORT, LA 71101
Phone number: 318-208-8908
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Mailing Address
Dr. JOHNETTA PATRICE BANKS
147 DOGWOOD SOUTH LN
HAUGHTON, LA 71037-7522
Phone number: 318-267-6677
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