SHANTALE ETHERIDGE

KILLEEN, TX
NPI1801338538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MS  1920)
Enumeration Date2016-11-11
Last Update Date2016-11-11
Business Address
-- SHANTALE ETHERIDGE
5200 GOLDEN GATE DR
KILLEEN, TX 76549-3980
Phone number: 601-566-0525
Mailing Address
-- SHANTALE ETHERIDGE
5200 GOLDEN GATE DR
KILLEEN, TX 76549-3980
Phone number: 601-566-0525
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