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1346697646
DARRELL FAVIS
SHREVEPORT, LA
NPI
1346697646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-17
Last Update Date
2016-05-17
Business Address
Mr. DARRELL FAVIS
7137 JANEY STREET
SHREVEPORT, LA 71108
Phone number: 318-205-0584
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Mailing Address
Mr. DARRELL FAVIS
7137 JANEY STREET
SHREVEPORT, LA 71108
Phone number: 318-205-0584
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