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1356884175
MARIO HANNA
SHREVEPORT, LA
NPI
1356884175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-28
Last Update Date
2016-11-28
Business Address
-- MARIO HANNA
2715 MACKEY PLACE SUITE 135
SHREVEPORT, LA 71118
Phone number: 318-272-5376
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Mailing Address
-- MARIO HANNA
1934 CORBITT ST.
SHREVEPORT, LA 71108
Phone number: 318-272-5376
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