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1407883879
MYRA CARTER
SHREVEPORT, LA
NPI
1407883879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 796)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
-- MYRA CARTER LAC
6240 GREENWOOD RD
SHREVEPORT, LA 71119-8413
Phone number: 318-632-2010
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Mailing Address
-- MYRA CARTER LAC
6240 GREENWOOD RD
SHREVEPORT, LA 71119-8413
Phone number: 318-632-2010
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