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1194236257
SHAMIKA CLARK
SHREVEPORT, LA
NPI
1194236257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 008553915)
Enumeration Date
2017-10-17
Last Update Date
2017-10-17
Business Address
SHAMIKA CLARK
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
SHAMIKA CLARK
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number:
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