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1932380961
MOLLY C WIERICK
SHREVEPORT, LA
NPI
1932380961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.200071)
Enumeration Date
2007-11-19
Last Update Date
2007-11-19
Business Address
-- MOLLY C WIERICK LOTR
1800 BUCKNER ST C-200
SHREVEPORT, LA 71101-4440
Phone number: 318-227-9002
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Mailing Address
-- MOLLY C WIERICK LOTR
1800 BUCKNER ST C-200
SHREVEPORT, LA 71101-4440
Phone number: 318-227-9002
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