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1265976104
LATORIA COTTONHAM
SHREVEPORT, LA
NPI
1265976104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-12-12
Last Update Date
2016-12-12
Business Address
-- LATORIA COTTONHAM
1513 LINE AVE # 135
SHREVEPORT, LA 71101-4621
Phone number: 318-828-1455
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Mailing Address
-- LATORIA COTTONHAM
1513 LINE AVE # 135
SHREVEPORT, LA 71101-4621
Phone number: 318-828-1455
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