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1356807200
RODERICK LAVELLE HARRIS
BOSSIER CITY, LA
NPI
1356807200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-02-15
Last Update Date
2019-02-15
Business Address
RODERICK LAVELLE HARRIS
2704 SHED RD APT 234E
BOSSIER CITY, LA 71111-3036
Phone number: 318-572-2970
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Mailing Address
RODERICK LAVELLE HARRIS
2704 SHED RD APT 234E
BOSSIER CITY, LA 71111-3036
Phone number: 318-572-2970
Copy
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