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1124584024
KHAIRAH ALI-ALLEN
SHREVEPORT, LA
NPI
1124584024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-02-15
Last Update Date
2019-02-15
Business Address
KHAIRAH ALI-ALLEN
3341 YOUREE DR
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4167
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Mailing Address
KHAIRAH ALI-ALLEN
512 BARRINGTON DR BLDG E
BOSSIER CITY, LA 71112-3186
Phone number: 202-222-8486
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