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1649711193
SHARONDA WILSON
SHREVEPORT, LA
NPI
1649711193
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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
2017-03-16
Last Update Date
2019-12-12
Business Address
SHARONDA WILSON
1910 ALMA ST
SHREVEPORT, LA 71108-2208
Phone number: 318-918-2946
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Mailing Address
SHARONDA WILSON
1910 ALMA ST
SHREVEPORT, LA 71108-2208
Phone number: 318-918-2946
Copy
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