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1467971069
TRACY RENARD HARRIS
SHREVEPORT, LA
NPI
1467971069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-14
Last Update Date
2017-09-14
Business Address
TRACY RENARD HARRIS
1149 ENGLEMEADE DR
SHREVEPORT, LA 71107
Phone number: 318-272-0746
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Mailing Address
TRACY RENARD HARRIS
1149 ENGLEMEADE DR
SHREVEPORT, LA 71107-5528
Phone number: 318-272-0746
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