SHANEDRA FULLER

SHREVEPORT, LA
NPI1538511449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-07-05
Last Update Date2016-07-05
Business Address
-- SHANEDRA FULLER
3126 BERT KOUN LOOP
SHREVEPORT, LA 71118-2903
Phone number: 318-469-2183
Mailing Address
-- SHANEDRA FULLER
3126 BERT KOUN LOOP
SHREVEPORT, LA 71118-2903
Phone number: