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1407198328
SHANNON A BRUNO
SHREVEPORT, LA
NPI
1407198328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: LA 1231)
Enumeration Date
2013-03-18
Last Update Date
2013-03-18
Business Address
-- SHANNON A BRUNO PhD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-4770
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Mailing Address
-- SHANNON A BRUNO PhD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-4770
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