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1114470978
TERRICA HENRY
SHREVEPORT, LA
NPI
1114470978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-07-28
Last Update Date
2016-07-28
Business Address
-- TERRICA HENRY
7709 WYNGATE BLVD
SHREVEPORT, LA 71106-3927
Phone number: 318-617-3329
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Mailing Address
-- TERRICA HENRY
7709 WYNGATE BLVD
SHREVEPORT, LA 71106-3927
Phone number: 318-617-3329
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