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1053777938
ERICA DAVIS
SHREVEPORT, LA
NPI
1053777938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-01-08
Last Update Date
2016-12-09
Business Address
-- ERICA DAVIS
2921 FROSTWOOD DR
SHREVEPORT, LA 71108-5527
Phone number: 318-617-0774
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Mailing Address
-- ERICA DAVIS
2921 FROSTWOOD DR
SHREVEPORT, LA 71108-5527
Phone number: 318-617-0774
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