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1093255911
SHALISKA HORTON
SHREVEPORT, LA
NPI
1093255911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-02-24
Last Update Date
2018-05-28
Business Address
SHALISKA HORTON
5902 BUNCOMBE RD
SHREVEPORT, LA 71129
Phone number: 318-626-5462
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Mailing Address
SHALISKA HORTON
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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