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1609381292
JANEICIA NICOLE MAYFIELD
SHREVEPORT, LA
NPI
1609381292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-05
Last Update Date
2017-12-05
Business Address
JANEICIA NICOLE MAYFIELD
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
JANEICIA NICOLE MAYFIELD
751 MONDY RD
RUSTON, LA 71270-1307
Phone number: 318-600-1687
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