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1851832596
LATERICA MOSS
SHREVEPORT, LA
NPI
1851832596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-03-14
Last Update Date
2017-03-14
Business Address
-- LATERICA MOSS
1513 LINE AVE STE 225
SHREVEPORT, LA 71101-4621
Phone number: 318-754-3890
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Mailing Address
-- LATERICA MOSS
416 JACKSON AVE
RUSTON, LA 71270-5746
Phone number:
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