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1992221519
THELMA SHAMEL BEVERLY
SHREVEPORT, LA
NPI
1992221519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-15
Last Update Date
2017-08-15
Business Address
THELMA SHAMEL BEVERLY
1513 LINE AVE STE 250
SHREVEPORT, LA 71101-4621
Phone number: 318-670-8858
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Mailing Address
THELMA SHAMEL BEVERLY
4837 PUTTERS LN
SHREVEPORT, LA 71107-3477
Phone number:
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