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1033273107
JEANNE STREET
SHREVEPORT, LA
NPI
1033273107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: LA 342)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
-- JEANNE STREET PhD
610 HERNDON AVE
SHREVEPORT, LA 71101
Phone number: 318-424-3867
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Mailing Address
-- JEANNE STREET PhD
610 HERNDON AVE
SHREVEPORT, LA 71101
Phone number: 318-424-3867
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