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1306381496
KEITH HALL
SHREVEPORT, LA
NPI
1306381496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-12-27
Last Update Date
2016-12-27
Business Address
-- KEITH HALL
403 KENNIE RD
SHREVEPORT, LA 71106-6903
Phone number: 318-547-5750
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Mailing Address
-- KEITH HALL
403 KENNIE RD
SHREVEPORT, LA 71106-6903
Phone number: 318-547-5750
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