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1265984595
NICOLE LISELLE THOMAS
SHREVEPORT, LA
NPI
1265984595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-03
Last Update Date
2016-11-03
Business Address
Ms. NICOLE LISELLE THOMAS
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
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Mailing Address
Ms. NICOLE LISELLE THOMAS
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
Copy
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