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1063968899
ALEXIS YOUNG
SHREVEPORT, LA
NPI
1063968899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- ALEXIS YOUNG
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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Mailing Address
-- ALEXIS YOUNG
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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