TANISHA BULLARD

SHREVEPORT, LA
NPI1043871759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MS  NA)
Enumeration Date2019-06-24
Last Update Date2019-06-24
Business Address
TANISHA BULLARD
3341 YOUREE DR
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4364
Mailing Address
TANISHA BULLARD
3341 YOUREE DR
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4364
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