SAMARIA RANDLE TISBY

SHREVEPORT, LA
NPI1932616661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-01-03
Last Update Date2018-01-03
Business Address
SAMARIA RANDLE TISBY
1632 SHEPHERD DR
SHREVEPORT, LA 71107-4955
Phone number: 318-415-8414
Mailing Address
SAMARIA RANDLE TISBY
1632 SHEPHERD DR
SHREVEPORT, LA 71107-4955
Phone number: 318-415-8414
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