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1407638059
BRENTWOOD ACQUISITION SHREVEPORT, INC
SHREVEPORT, LA
NPI
1407638059
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Entity Type
Organization
Authorized Contact
KAREN SCOTT
Counselor
318-210-3855
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
BRENTWOOD ACQUISITION SHREVEPORT, INC
1006 HIGHLAND AVE
SHREVEPORT, LA 71101-4103
Phone number: 318-210-3855
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Mailing Address
BRENTWOOD ACQUISITION SHREVEPORT, INC
2500 CENTENARY BLVD UNIT 5
SHREVEPORT, LA 71104-2468
Phone number: 318-210-3855
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