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1366921470
DEVIN JEANENE FAIRCLOTH
SHREVEPORT, LA
NPI
1366921470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 6340)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
DEVIN JEANENE FAIRCLOTH LPC
8730 YOUREE DR STE B
SHREVEPORT, LA 71115-2518
Phone number: 318-227-9002
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Mailing Address
DEVIN JEANENE FAIRCLOTH LPC
36 SHADY PINE LN
CONVERSE, LA 71419-3585
Phone number: 318-871-6910
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