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1346614658
JUSTIN DAVIS
SHREVEPORT, LA
NPI
1346614658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA LPC5961)
Enumeration Date
2015-11-24
Last Update Date
2022-08-22
Business Address
JUSTIN DAVIS
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-429-6938
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Mailing Address
JUSTIN DAVIS
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-429-6938
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