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1306211438
REGINA GALLOWAY SULLIVAN
SHREVEPORT, LA
NPI
1306211438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-12-01
Last Update Date
2018-05-23
Business Address
REGINA GALLOWAY SULLIVAN
6009 FINANCIAL PLZ STE 105
SHREVEPORT, LA 71129
Phone number: 318-670-8858
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Mailing Address
REGINA GALLOWAY SULLIVAN
1513 LINE AVE SUITE 230
SHREVEPORT, LA 71101-4621
Phone number: 318-670-8858
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