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1477075505
CLARENCE MCSHAN
SHREVEPORT, LA
NPI
1477075505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2017-07-11
Last Update Date
2018-03-17
Business Address
MR. CLARENCE MCSHAN
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-603-4696
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Mailing Address
MR. CLARENCE MCSHAN
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number:
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