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1770175416
SHALETTA COCKHERAN
ALEXANDRIA, LA
NPI
1770175416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA CIT-5261)
Enumeration Date
2021-02-04
Last Update Date
2021-02-05
Business Address
SHALETTA COCKHERAN
2116 N BOLTON AVE
ALEXANDRIA, LA 71303-4405
Phone number: 318-445-1250
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Mailing Address
SHALETTA COCKHERAN
2116 N BOLTON AVE
ALEXANDRIA, LA 71303-4405
Phone number: 318-445-1250
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