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1285158907
JULIE ANNA WYATT
SHREVEPORT, LA
NPI
1285158907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-03
Last Update Date
2017-08-03
Business Address
JULIE ANNA WYATT ba ms
2924 KNIGHT ST
SHREVEPORT, LA 71105-2415
Phone number: 318-631-1122
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Mailing Address
JULIE ANNA WYATT ba ms
5704 PAMPUS LN
BOSSIER CITY, LA 71112-4953
Phone number: 318-469-9681
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