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1194232959
AVIANCE SHANTEL SMITH
SHREVEPORT, LA
NPI
1194232959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-01-02
Last Update Date
2018-01-02
Business Address
AVIANCE SHANTEL SMITH
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
AVIANCE SHANTEL SMITH
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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