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1578008421
CANDACE BRACY
SHREVEPORT, LA
NPI
1578008421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-02
Last Update Date
2017-01-02
Business Address
-- CANDACE BRACY
3501 CHAMPION LAKE BLVD APT 401
SHREVEPORT, LA 71105-3772
Phone number: 318-655-7449
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Mailing Address
-- CANDACE BRACY
3501 CHAMPION LAKE BLVD APT 401
SHREVEPORT, LA 71105-3772
Phone number: 318-655-7449
Copy
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