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1144914755
TARA MICHELLE BURKHALTER
SHREVEPORT, LA
NPI
1144914755
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Former Name
TARA MICHELLE HOLLIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA PLC8959)
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
TARA MICHELLE BURKHALTER PLPC
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8983
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Mailing Address
TARA MICHELLE BURKHALTER PLPC
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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