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1144734708
CASEY THOMAS
SHREVEPORT, LA
NPI
1144734708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-18
Last Update Date
2017-11-18
Business Address
CASEY THOMAS
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
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Mailing Address
CASEY THOMAS
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
Copy
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