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1649789538
SHARETHA WISE
SHREVEPORT, LA
NPI
1649789538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-24
Last Update Date
2017-09-24
Business Address
SHARETHA WISE
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
SHARETHA WISE
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number:
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