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1831773159
SONTAVIA DEANN WASHINGTON
SHREVEPORT, LA
NPI
1831773159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-05-12
Last Update Date
2021-05-12
Business Address
SONTAVIA DEANN WASHINGTON
2715 MACKEY LN
SHREVEPORT, LA 71118-2556
Phone number: 318-617-9171
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Mailing Address
SONTAVIA DEANN WASHINGTON
2402 PINEHURST BLVD
SHREVEPORT, LA 71104-3224
Phone number:
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