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1396269171
ULISSA SAMONE EDWARDS
SHREVEPORT, LA
NPI
1396269171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-02
Last Update Date
2022-07-21
Business Address
Miss ULISSA SAMONE EDWARDS
820 JORDAN ST
SHREVEPORT, LA 71101-4518
Phone number: 318-208-8400
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Mailing Address
Miss ULISSA SAMONE EDWARDS
820 JORDAN ST
SHREVEPORT, LA 71101-4518
Phone number: 318-208-8400
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