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1346890498
SHALACEY BERTRAND
RUSTON, LA
NPI
1346890498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 6888)
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
SHALACEY BERTRAND LPC, NCC
206 E REYNOLDS DR STE F2
RUSTON, LA 71270-2809
Phone number: 318-514-8893
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Mailing Address
SHALACEY BERTRAND LPC, NCC
101 S MAPLE ST
RUSTON, LA 71270-4119
Phone number: 318-514-8893
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