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1386047462
SHAWANDA BENTON
BATON ROUGE, LA
NPI
1386047462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: LA 5070)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2014-10-02
Last Update Date
2018-08-09
Business Address
SHAWANDA BENTON
12090 S HARRELLS FERRY RD STE D2
BATON ROUGE, LA 70816
Phone number: 225-317-9383
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Mailing Address
SHAWANDA BENTON
12090 S HARRELLS FERRY RD STE D2
BATON ROUGE, LA 70816-2470
Phone number: 225-317-9383
Copy
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