SHANICE S SPARKS

SHREVEPORT, LA
NPI1619422664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-08-19
Last Update Date2018-05-23
Business Address
Mrs. SHANICE S SPARKS
6777 RASBERRY LN APT 2021
SHREVEPORT, LA 71129
Phone number: 318-393-5249
Mailing Address
Mrs. SHANICE S SPARKS
1648 MIDWAY ST
SHREVEPORT, LA 71108-2339
Phone number: 318-393-5249
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