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1932624038
JERRICKA A BOWMAN
VIDALIA, LA
NPI
1932624038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-09
Last Update Date
2022-07-21
Business Address
JERRICKA A BOWMAN
1109 CARTER STREET SUITE 10
VIDALIA, LA 71373
Phone number: 318-336-4700
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Mailing Address
JERRICKA A BOWMAN
1109 CARTER ST STE 10
VIDALIA, LA 71373-3227
Phone number: 318-336-4700
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