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1912453382
WANDA SCOTT
SHREVEPORT, LA
NPI
1912453382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-08-26
Last Update Date
2016-08-26
Business Address
WANDA SCOTT
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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Mailing Address
WANDA SCOTT
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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