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1144753708
LAVERNE SENORA BRANTLEY
SHREVEPORT, LA
NPI
1144753708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 6599)
Enumeration Date
2017-04-10
Last Update Date
2024-02-28
Business Address
Ms. LAVERNE SENORA BRANTLEY LPC
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-636-4194
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Mailing Address
Ms. LAVERNE SENORA BRANTLEY LPC
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-636-4194
Copy
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