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1215466743
SHARAE RICHELLE VICKNAIR
BATON ROUGE, LA
NPI
1215466743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
SHARAE RICHELLE VICKNAIR MS
8676 GOODWOOD BLVD STE 105
BATON ROUGE, LA 70806-7914
Phone number: 225-636-5817
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Mailing Address
SHARAE RICHELLE VICKNAIR MS
8676 GOODWOOD BLVD STE 105
BATON ROUGE, LA 70806-7914
Phone number: 225-636-5817
Copy
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