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1508306101
SHAMORA SHAW'NAE GILLIAM
SHREVEPORT, LA
NPI
1508306101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-03-01
Last Update Date
2023-03-21
Business Address
Ms. SHAMORA SHAW'NAE GILLIAM MHS
5998 VANCOUVER DR
SHREVEPORT, LA 71107-2046
Phone number: 940-218-0355
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Mailing Address
Ms. SHAMORA SHAW'NAE GILLIAM MHS
5998 VANCOUVER DR
SHREVEPORT, LA 71107-2046
Phone number: 940-218-0355
Copy
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