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1093021214
LISA HARRISON PENN
SHREVEPORT, LA
NPI
1093021214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA CAC1339)
Enumeration Date
2010-08-25
Last Update Date
2022-07-21
Business Address
-- LISA HARRISON PENN CAC
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111
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Mailing Address
-- LISA HARRISON PENN CAC
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111
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