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1699223230
TRACY ELBERT
SHREVEPORT, LA
NPI
1699223230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
-- TRACY ELBERT
543 STONER AVE
SHREVEPORT, LA 71101-4122
Phone number: 318-673-9901
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Mailing Address
-- TRACY ELBERT
5352 FAIRFAX AVE
SHREVEPORT, LA 71108-3334
Phone number: 318-751-3053
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