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1467612762
WAVELY ROY CUNNINGHAM
SHREVEPORT, LA
NPI
1467612762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 3560)
Enumeration Date
2008-06-11
Last Update Date
2008-06-11
Business Address
Ms. WAVELY ROY CUNNINGHAM MA, LPC
1525 STEPHENS AVE
SHREVEPORT, LA 71101-4705
Phone number: 318-221-6121
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Mailing Address
Ms. WAVELY ROY CUNNINGHAM MA, LPC
1525 STEPHENS AVE
SHREVEPORT, LA 71101-4705
Phone number: 318-221-6121
Copy
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