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1235310178
RUSSELL GLENN SEMON
SHREVEPORT, LA
NPI
1235310178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 2654)
Enumeration Date
2007-11-20
Last Update Date
2007-11-20
Business Address
Mr. RUSSELL GLENN SEMON L.P.C.
10008 FERRY CREEK DR
SHREVEPORT, LA 71106-8406
Phone number: 318-773-0103
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Mailing Address
Mr. RUSSELL GLENN SEMON L.P.C.
10008 FERRY CREEK DR
SHREVEPORT, LA 71106-8406
Phone number: 318-773-0103
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