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1669007951
TAMARA "TAMMY" LARCK
SHREVEPORT, LA
NPI
1669007951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 5061)
Enumeration Date
2020-03-06
Last Update Date
2020-03-06
Business Address
TAMARA "TAMMY" LARCK CIT
1525 FULLILOVE DRIVE
SHREVEPORT, LA 71111
Phone number: 318-747-1211
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Mailing Address
TAMARA "TAMMY" LARCK CIT
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2099
Phone number: 318-222-8511
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