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1497294201
SHELBY GILLIAM
SHREVEPORT, LA
NPI
1497294201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-02-14
Last Update Date
2017-02-14
Business Address
-- SHELBY GILLIAM
1500 N MARKET ST
SHREVEPORT, LA 71107-6537
Phone number: 318-626-5597
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Mailing Address
-- SHELBY GILLIAM
1500 N MARKET ST
SHREVEPORT, LA 71107-6537
Phone number: 318-626-5597
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