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1083017073
GILFORD LEE GILLEN
SHREVEPORT, LA
NPI
1083017073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 5077)
Enumeration Date
2014-10-03
Last Update Date
2014-10-03
Business Address
-- GILFORD LEE GILLEN LPC
707 SOUTHFIELD RD.
SHREVEPORT, LA 71106
Phone number: 318-869-1632
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Mailing Address
-- GILFORD LEE GILLEN LPC
707 SOUTHFIELD RD.
SHREVEPORT, LA 71106
Phone number: 318-869-1632
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