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1083086599
GARY IVERSON
BOSSIER CITY, LA
NPI
1083086599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-23
Last Update Date
2015-10-23
Business Address
-- GARY IVERSON
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA 71112-2497
Phone number: 318-746-1935
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Mailing Address
-- GARY IVERSON
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA 71112-2497
Phone number: 318-746-1935
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