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1295245215
KRISTAL BUTLER POLAND
SHREVEPORT, LA
NPI
1295245215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA LPC6466)
Enumeration Date
2017-10-04
Last Update Date
2022-06-30
Business Address
Mrs. KRISTAL BUTLER POLAND LPC
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-213-1860
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Mailing Address
Mrs. KRISTAL BUTLER POLAND LPC
9434 CROOKED CREEK DR
SHREVEPORT, LA 71118-4155
Phone number: 318-332-2187
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