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1093855512
GARY W TIEMANN
SHREVEPORT, LA
NPI
1093855512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 2781)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
Mr. GARY W TIEMANN LCSW
2001 E 70TH STREET SUITE 106
SHREVEPORT, LA 71105-5393
Phone number: 318-798-0518
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Mailing Address
Mr. GARY W TIEMANN LCSW
2001 E 70TH STREET SUITE 106
SHREVEPORT, LA 71105-5393
Phone number: 318-798-0518
Copy
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