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1174001630
CRYSTAL BRYANT
SHREVEPORT, LA
NPI
1174001630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-08-06
Last Update Date
2018-08-06
Business Address
CRYSTAL BRYANT
7607 FERN AVE STE 902
SHREVEPORT, LA 71105-5745
Phone number: 318-524-9954
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Mailing Address
CRYSTAL BRYANT
7607 FERN AVE STE 902
SHREVEPORT, LA 71105-5745
Phone number: 318-524-9954
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