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1861916850
SHANIA FULLER
MANSFIELD, LA
NPI
1861916850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-01
Last Update Date
2017-08-01
Business Address
SHANIA FULLER
419 WASHINGTON AVE
MANSFIELD, LA 71052
Phone number: 318-872-0262
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Mailing Address
SHANIA FULLER
419 WASHINGTON AVE
MANSFIELD, LA 71052-3103
Phone number:
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