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1124493044
ROBERT TERRY
SHREVEPORT, LA
NPI
1124493044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-03
Last Update Date
2015-12-03
Business Address
-- ROBERT TERRY M.A.
5902 BUNCOMBE RD
SHREVEPORT, LA 71129
Phone number: 318-670-8898
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Mailing Address
-- ROBERT TERRY M.A.
P.O.BOX 29372
SHREVEPORT, LA 71149
Phone number: 318-670-8898
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