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1518505601
SAMANTHA KLINGENBERG
SHREVEPORT, LA
NPI
1518505601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 5031)
Enumeration Date
2019-12-19
Last Update Date
2019-12-19
Business Address
SAMANTHA KLINGENBERG CIT
910 PIERREMONT RD STE 300
SHREVEPORT, LA 71106-2056
Phone number: 318-562-6616
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Mailing Address
SAMANTHA KLINGENBERG CIT
910 PIERREMONT RD STE 300
SHREVEPORT, LA 71106-2056
Phone number:
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