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1407233505
TARKISHA WALLACE
BOSSIER CITY, LA
NPI
1407233505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 4405)
Enumeration Date
2015-04-28
Last Update Date
2019-09-06
Business Address
TARKISHA WALLACE LPC-S, NCC
1000 CHINABERRY DR STE 902
BOSSIER CITY, LA 71111-2455
Phone number: 318-742-3408
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Mailing Address
TARKISHA WALLACE LPC-S, NCC
1000 CHINABERRY DR STE 902
BOSSIER CITY, LA 71111-2455
Phone number: 318-742-3408
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