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1235363391
HAROLD D. SHAVER
SHREVEPORT, LA
NPI
1235363391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-05-05
Last Update Date
2009-05-05
Business Address
-- HAROLD D. SHAVER
510 E. STONER AVENUE
SHREVEPORT, LA 71101-4295
Phone number: 318-990-5018
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Mailing Address
-- HAROLD D. SHAVER
6845 HWY 1, LOT #1
SHREVEPORT, LA 71107
Phone number: 318-990-5018
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