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1154845196
KELVIN WAYNE LATSON
SHREVEPORT, LA
NPI
1154845196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-01
Last Update Date
2022-07-21
Business Address
Mr. KELVIN WAYNE LATSON
820 JORDAN ST
SHREVEPORT, LA 71101-4518
Phone number: 318-208-8166
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Mailing Address
Mr. KELVIN WAYNE LATSON
6721 KENNEDY DR
SHREVEPORT, LA 71109-8329
Phone number: 318-404-4880
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