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1225402811
ADDISON FORD
SHREVEPORT, LA
NPI
1225402811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-19
Last Update Date
2015-11-19
Business Address
-- ADDISON FORD
543 EAST STONER AVE
SHREVEPORT, LA 71101
Phone number: 318-673-9901
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Mailing Address
-- ADDISON FORD
543 EAST STONER
SHREVEPORT, LA 71101
Phone number: 318-673-9901
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