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1417441619
ALEXIS MICHELLE GIPSON
SHREVEPORT, LA
NPI
1417441619
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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
2018-06-20
Last Update Date
2020-03-09
Business Address
ALEXIS MICHELLE GIPSON
2210 LINE AVE STE 207
SHREVEPORT, LA 71104-2134
Phone number: 318-675-1112
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Mailing Address
ALEXIS MICHELLE GIPSON
2210 LINE AVE STE 207
SHREVEPORT, LA 71104-2134
Phone number: 318-675-1112
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