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1528579224
LACRYSTAL GIPSON
SHREVEPORT, LA
NPI
1528579224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-20
Last Update Date
2017-10-20
Business Address
LACRYSTAL GIPSON
5720 S LAKESHORE DR APT 1004
SHREVEPORT, LA 71119-3931
Phone number: 318-272-2971
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Mailing Address
LACRYSTAL GIPSON
5720 S LAKESHORE DR APT 1004
SHREVEPORT, LA 71119-3931
Phone number: 318-272-2971
Copy
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