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1023881869
KISHA SHUNGA MERRICK
BATON ROUGE, LA
NPI
1023881869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2023-11-02
Last Update Date
2023-12-13
Business Address
KISHA SHUNGA MERRICK
3040 TEDDY DR
BATON ROUGE, LA 70809-1925
Phone number: 225-218-4444
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Mailing Address
KISHA SHUNGA MERRICK
3040 TEDDY DR
BATON ROUGE, LA 70809-1925
Phone number: 225-218-4444
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