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1285006916
CLEVELAND R WHITE
BOSSIER CITY, LA
NPI
1285006916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-21
Last Update Date
2015-10-21
Business Address
Mr. CLEVELAND R WHITE
1504 BARKSDALE BLVD
BOSSIER CITY, LA 71111-4602
Phone number: 318-222-4299
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Mailing Address
Mr. CLEVELAND R WHITE
1504 BARKSDALE BLVD
BOSSIER CITY, LA 71111-4602
Phone number: 318-222-4299
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