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1386389369
SAMARA SHIELDS
TYLER, TX
NPI
1386389369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 73938)
Enumeration Date
2022-05-03
Last Update Date
2022-05-03
Business Address
SAMARA SHIELDS
1306 S GLENWOOD BLVD
TYLER, TX 75701-2740
Phone number: 806-463-9948
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Mailing Address
SAMARA SHIELDS
1306 S GLENWOOD BLVD
TYLER, TX 75701-2740
Phone number: 806-463-9948
Copy
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