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1659614295
ALEX VEGA
SHREVEPORT, LA
NPI
1659614295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 4509)
Enumeration Date
2013-04-02
Last Update Date
2013-04-02
Business Address
-- ALEX VEGA LPC
2520 LINE AVE
SHREVEPORT, LA 71104-3022
Phone number: 318-313-0475
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Mailing Address
-- ALEX VEGA LPC
5005 LONGSTREET PL UNIT 37
BOSSIER CITY, LA 71112-4788
Phone number: 318-313-0475
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