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1154775260
KATLIN WILLEY
SHREVEPORT, LA
NPI
1154775260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 010204542)
Enumeration Date
2016-04-15
Last Update Date
2016-04-15
Business Address
-- KATLIN WILLEY
2620 CENTENARY BLVD 312
SHREVEPORT, LA 71104-3356
Phone number: 318-681-9935
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Mailing Address
-- KATLIN WILLEY
2620 CENTENARY BLVD 312
SHREVEPORT, LA 71104-3356
Phone number:
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