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1043708696
SHENITA HALL SUMLIN
SHREVEPORT, LA
NPI
1043708696
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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
2018-04-30
Last Update Date
2018-07-17
Business Address
SHENITA HALL SUMLIN
1543 GRIMMETT DR
SHREVEPORT, LA 71107
Phone number: 318-626-5597
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Mailing Address
SHENITA HALL SUMLIN
1543 GRIMMETT DR
SHREVEPORT, LA 71107-6505
Phone number:
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