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1154461564
DARA BOURN
SHREVEPORT, LA
NPI
1154461564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- DARA BOURN SSCOMH
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5599
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Mailing Address
-- DARA BOURN SSCOMH
6201 BERT KOUNS INDUSTRIAL LOOP LOT 870
SHREVEPORT, LA 71129-5056
Phone number: 318-688-6441
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