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1912486069
RICKI ALEXIS TAYLOR
SHREVEPORT, LA
NPI
1912486069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KS K03-71-2148)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
RICKI ALEXIS TAYLOR
5720 S LAKESHORE DR APT 307
SHREVEPORT, LA 71119-3929
Phone number: 913-293-9437
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Mailing Address
RICKI ALEXIS TAYLOR
5720 S LAKESHORE DR APT 307
SHREVEPORT, LA 71119-3929
Phone number: 913-293-9437
Copy
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