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1164956629
QIERA MARDIS
BOSSIER CITY, LA
NPI
1164956629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-11
Last Update Date
2017-04-11
Business Address
-- QIERA MARDIS
4859 SHED RD STE 200
BOSSIER CITY, LA 71111-5493
Phone number: 318-522-5012
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Mailing Address
-- QIERA MARDIS
4859 SHED RD STE 200
BOSSIER CITY, LA 71111-5493
Phone number: 318-522-5012
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