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1891168092
LATISHA WADLEY
SHREVEPORT, LA
NPI
1891168092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
-- LATISHA WADLEY
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-218-7193
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Mailing Address
-- LATISHA WADLEY
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-218-7193
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