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1215102462
GRETA ANITA MCCORMICK
SHREVEPORT, LA
NPI
1215102462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 227483)
Enumeration Date
2008-04-29
Last Update Date
2023-06-28
Business Address
Ms. GRETA ANITA MCCORMICK MSN, APRN, PMHNP-BC
151 FREESTATE BLVD STE A
SHREVEPORT, LA 71107-6549
Phone number: 318-226-5990
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Mailing Address
Ms. GRETA ANITA MCCORMICK MSN, APRN, PMHNP-BC
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111
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