ARIANTE VANAE WALLACE

SHREVEPORT, LA
NPI1386121101
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-07-24
Last Update Date2018-07-24
Business Address
ARIANTE VANAE WALLACE
1717 MARSHALL ST
SHREVEPORT, LA 71101-4139
Phone number: 318-226-9943
Mailing Address
ARIANTE VANAE WALLACE
501 MATHIES CIR
BARKSDALE AFB, LA 71110-2323
Phone number:
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