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1871043844
SHUNQUANETTE BANKS
SHREVEPORT, LA
NPI
1871043844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-10-13
Last Update Date
2018-06-06
Business Address
SHUNQUANETTE BANKS
4019 GREENWOOD RD
SHREVEPORT, LA 71109
Phone number: 318-626-5462
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Mailing Address
SHUNQUANETTE BANKS
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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