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1184178741
CARLA MCCORMICK
SHREVEPORT, LA
NPI
1184178741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-08-11
Last Update Date
2016-08-11
Business Address
-- CARLA MCCORMICK
416 PENNSYLVANIA AVE
SHREVEPORT, LA 71105-3136
Phone number: 318-218-1574
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Mailing Address
-- CARLA MCCORMICK
416 PENNSYLVANIA AVE
SHREVEPORT, LA 71105-3136
Phone number: 318-218-1574
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