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1578072740
DARRELL DEWARREN SCOTT
SHREVEPORT, LA
NPI
1578072740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-09-20
Last Update Date
2022-07-21
Business Address
DARRELL DEWARREN SCOTT
2525 YOUREE DR 110
SHREVEPORT, LA 71104
Phone number: 318-742-3408
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Mailing Address
DARRELL DEWARREN SCOTT
2525 YOUREE DR
SHREVEPORT, LA 71104-3671
Phone number: 318-742-3408
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