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1083027437
TIMOTHY DAVIDSON
SHREVEPORT, LA
NPI
1083027437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 3473)
Enumeration Date
2014-06-03
Last Update Date
2014-06-03
Business Address
-- TIMOTHY DAVIDSON LCSW
847 NEW LONDON ST
SHREVEPORT, LA 71118-3524
Phone number: 318-688-9292
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Mailing Address
-- TIMOTHY DAVIDSON LCSW
847 NEW LONDON ST
SHREVEPORT, LA 71118-3524
Phone number: 318-688-9292
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