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1699475483
STASHA WILLIS
VIDALIA, LA
NPI
1699475483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
STASHA WILLIS
1109 CARTER ST STE 3
VIDALIA, LA 71373-3227
Phone number: 318-414-3065
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Mailing Address
STASHA WILLIS
1109 CARTER ST STE 3
VIDALIA, LA 71373-3227
Phone number: 318-414-3065
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