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1275903403
TASHA BROCKS
BOSSIER CITY, LA
NPI
1275903403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
-- TASHA BROCKS
449 PLAZA CIR
BOSSIER CITY, LA 71111-4811
Phone number: 318-426-6398
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Mailing Address
-- TASHA BROCKS
449 PLAZA CIR
BOSSIER CITY, LA 71111-4811
Phone number: 318-426-6398
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