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1306316088
WILLIAM ROSE
SHREVEPORT, LA
NPI
1306316088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 595)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
WILLIAM ROSE LAC
2000 FAIRFIELD AVENUE
SHREVEPORT, LA 71104
Phone number: 318-222-8511
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Mailing Address
WILLIAM ROSE LAC
2000 FAIRFIELD AVENUE
SHREVEPORT, LA 71104
Phone number: 318-222-8511
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