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1689046708
EBONY ALLEN
SHREVEPORT, LA
NPI
1689046708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-28
Last Update Date
2018-07-19
Business Address
EBONY ALLEN
8938 TWELVE OAKS DR
SHREVEPORT, LA 71118
Phone number: 318-834-7437
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Mailing Address
EBONY ALLEN
8938 TWELVE OAKS DR
SHREVEPORT, LA 71118-2310
Phone number: 318-834-7437
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