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1427103944
SAMANTHA NICOLE PERRY
SHREVEPORT, LA
NPI
1427103944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- SAMANTHA NICOLE PERRY MA
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5131
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Mailing Address
-- SAMANTHA NICOLE PERRY MA
4900 GENERAL STERLING PRICE PL
BOSSIER CITY, LA 71112-4762
Phone number: 318-676-5131
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