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1447369228
JEFFREY HERMAN LEBLANG
SHREVEPORT, LA
NPI
1447369228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810001565)
Enumeration Date
2006-08-29
Last Update Date
2007-07-09
Business Address
Dr. JEFFREY HERMAN LEBLANG Ph.D.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Dr. JEFFREY HERMAN LEBLANG Ph.D.
1341 WHITEHALL DR PLANTATION TRACE
BOSSIER CITY, LA 71112-4549
Phone number: 318-747-2124
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