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1427404383
CHANDRA WILSON
SHREVEPORT, LA
NPI
1427404383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-10
Last Update Date
2016-11-15
Business Address
-- CHANDRA WILSON MHS
1513 LINE AVE SUITE 315
SHREVEPORT, LA 71101-4621
Phone number: 318-221-2828
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Mailing Address
-- CHANDRA WILSON MHS
1513 LINE AVE SUITE 315
SHREVEPORT, LA 71101-4621
Phone number: 318-221-2828
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