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1144543489
WK PSYCHOLOGY SPECIALTY CENTER
SHREVEPORT, LA
NPI
1144543489
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
Enumeration Date
2010-03-01
Last Update Date
2012-06-08
Business Address
WK PSYCHOLOGY SPECIALTY CENTER
2508 BERT KOUNS INDUSTRIAL LOOP SUITE 303
SHREVEPORT, LA 71118-3133
Phone number: 318-212-5850
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Mailing Address
WK PSYCHOLOGY SPECIALTY CENTER
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8574
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