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1164895637
TRACY GREEN
SHREVEPORT, LA
NPI
1164895637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
-- TRACY GREEN
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-638-9568
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Mailing Address
-- TRACY GREEN
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number:
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