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1669818985
KELLY M TYNER
SHREVEPORT, LA
NPI
1669818985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: LA MFT1163)
Enumeration Date
2013-05-14
Last Update Date
2013-05-14
Business Address
Dr. KELLY M TYNER Ph.D.
820 JORDAN ST SUITE 570
SHREVEPORT, LA 71101-4518
Phone number: 318-415-9437
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Mailing Address
Dr. KELLY M TYNER Ph.D.
9369 DELORES DR
SHREVEPORT, LA 71118-3304
Phone number: 318-415-9437
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