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1104344324
TRELISA S BRIDGEWATER
SHREVEPORT, LA
NPI
1104344324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-08
Last Update Date
2017-09-08
Business Address
TRELISA S BRIDGEWATER
3007 KNIGHT ST SUITE 200
SHREVEPORT, LA 71105
Phone number: 318-221-8244
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Mailing Address
TRELISA S BRIDGEWATER
900 WALKER RD APT 1203
SHREVEPORT, LA 71101
Phone number: 318-221-8244
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