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1194224857
PRISCILLA ANTIONETTE MARSHALL
SHREVEPORT, LA
NPI
1194224857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-02-08
Last Update Date
2018-02-08
Business Address
MISS PRISCILLA ANTIONETTE MARSHALL
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
MISS PRISCILLA ANTIONETTE MARSHALL
6477 JOY DR
SHREVEPORT, LA 71119-5109
Phone number: 318-655-4915
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