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1790159812
SHAMICHEAL DAVENPORT
SHREVEPORT, LA
NPI
1790159812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-01
Last Update Date
2015-12-01
Business Address
-- SHAMICHEAL DAVENPORT
6535 DIANNE ST
SHREVEPORT, LA 71119
Phone number: 318-422-5201
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Mailing Address
-- SHAMICHEAL DAVENPORT
6535 DIANNE ST
SHREVEPORT, LA 71119
Phone number:
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