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1538697826
SHANITA GAIL GRAYSON
NATCHITOCHES, LA
NPI
1538697826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-05-31
Last Update Date
2022-07-21
Business Address
SHANITA GAIL GRAYSON
861 3RD ST
NATCHITOCHES, LA 71457
Phone number: 318-652-8140
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Mailing Address
SHANITA GAIL GRAYSON
861 3RD ST
NATCHITOCHES, LA 71457-4701
Phone number: 318-652-8140
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