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1184890337
SHREVEPORT MENTAL HEALTH
SHREVEPORT, LA
NPI
1184890337
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Entity Type
Organization
Authorized Contact
ROBENA PETTERWAY
Mhc Manager 4
318-676-5111
Organization Subpart ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-05-07
Last Update Date
2008-05-07
Business Address
SHREVEPORT MENTAL HEALTH
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111
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Mailing Address
SHREVEPORT MENTAL HEALTH
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111
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