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1366987349
DEIDRE HILLERY BENJAMIN
SHREVEPORT, LA
NPI
1366987349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-12-29
Last Update Date
2016-12-29
Business Address
Mrs. DEIDRE HILLERY BENJAMIN
9439 SHARTEL DR
SHREVEPORT, LA 71118-3956
Phone number: 318-532-9866
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Mailing Address
Mrs. DEIDRE HILLERY BENJAMIN
9439 SHARTEL DR
SHREVEPORT, LA 71118-3956
Phone number: 318-532-9866
Copy
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