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1760915292
VERNISSIA WALDRUP
SHREVEPORT, LA
NPI
1760915292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-11
Last Update Date
2017-04-11
Business Address
-- VERNISSIA WALDRUP
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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Mailing Address
-- VERNISSIA WALDRUP
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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