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1124546312
KALAN JON WASHINGTON
SHREVEPORT, LA
NPI
1124546312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 1760852511)
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
KALAN JON WASHINGTON M. Ed
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
KALAN JON WASHINGTON M. Ed
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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