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1407228075
GLEN D HARRIS
SHREVEPORT, LA
NPI
1407228075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-22
Last Update Date
2018-11-05
Business Address
GLEN D HARRIS M.A
6009 FINANCIAL PLZ STE 102
SHREVEPORT, LA 71129-2615
Phone number: 318-828-1455
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Mailing Address
GLEN D HARRIS M.A
1504 BARKSDALE BLVD
BOSSIER CITY, LA 71111
Phone number: 318-222-4299
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