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1376085423
LA'KEACHIE MIMS
SHREVEPORT, LA
NPI
1376085423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-07
Last Update Date
2016-11-07
Business Address
-- LA'KEACHIE MIMS
200 N THOMAS DR STE 1
SHREVEPORT, LA 71107-6503
Phone number: 318-425-8345
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Mailing Address
-- LA'KEACHIE MIMS
200 N THOMAS DR STE 1
SHREVEPORT, LA 71107-6503
Phone number: 318-425-8345
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