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1205378718
CHICQUETA ROBERTSON
SHREVEPORT, LA
NPI
1205378718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-15
Last Update Date
2016-11-15
Business Address
-- CHICQUETA ROBERTSON
3511 YOUREE DR
SHREVEPORT, LA 71105-2119
Phone number: 318-861-8938
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Mailing Address
-- CHICQUETA ROBERTSON
1506 PARKER ST
SHREVEPORT, LA 71108-2420
Phone number: 318-200-1683
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