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1013524875
ELIZABETH MAE FARGERSON
SHREVEPORT, LA
NPI
1013524875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: LA L-694)
Enumeration Date
2020-09-25
Last Update Date
2023-01-24
Business Address
ELIZABETH MAE FARGERSON BCaBA
9441 STEVENS RD STE 150
SHREVEPORT, LA 71106-7574
Phone number: 318-947-9000
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Mailing Address
ELIZABETH MAE FARGERSON BCaBA
128 CARROLL ST
SHREVEPORT, LA 71105-4235
Phone number: 318-230-0865
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