LISA HARRISON PENN

SHREVEPORT, LA
NPI1093021214
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: LA  CAC1339)
Enumeration Date2010-08-25
Last Update Date2022-07-21
Business Address
LISA HARRISON PENN CAC
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111
Mailing Address
LISA HARRISON PENN CAC
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111
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