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1386391191
KELLIE-ANN M HARVILLE
SHREVEPORT, LA
NPI
1386391191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA R-10899)
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
KELLIE-ANN M HARVILLE
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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Mailing Address
KELLIE-ANN M HARVILLE
3925 ADDISON AVE
SHREVEPORT, LA 71107-3113
Phone number: 318-518-4498
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