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1457623530
LINDA ANDERSON PIVONT
SHREVEPORT, LA
NPI
1457623530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
Ms. LINDA ANDERSON PIVONT LAC
1310 NORTH HEARNE AVE
SHREVEPORT, LA 71107
Phone number: 318-676-5111
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Mailing Address
Ms. LINDA ANDERSON PIVONT LAC
PO BOX 7904
SHREVEPORT, LA 71137-7904
Phone number: 318-676-5111
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