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1407216690
KIRA GRANT
SHREVEPORT, LA
NPI
1407216690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-01
Last Update Date
2018-05-25
Business Address
KIRA GRANT M.S.
5902 BUNCOMBE RD
SHREVEPORT, LA 71129
Phone number: 318-670-8898
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Mailing Address
KIRA GRANT M.S.
PO BOX 29372
SHREVEPORT, LA 71149-9372
Phone number: 318-670-8898
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