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1346607496
BERTHA GREEN
SHREVEPORT, LA
NPI
1346607496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-01-20
Last Update Date
2016-01-20
Business Address
-- BERTHA GREEN
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-675-0804
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Mailing Address
-- BERTHA GREEN
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-675-0804
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