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1962941476
JOHNETTA MARSHALL
SHREVEPORT, LA
NPI
1962941476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-02-16
Last Update Date
2018-05-21
Business Address
JOHNETTA MARSHALL
6901 DESPOT RD
SHREVEPORT, LA 71108
Phone number: 318-655-6837
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Mailing Address
JOHNETTA MARSHALL
6901 DESPOT RD
SHREVEPORT, LA 71108-4643
Phone number: 318-655-6837
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