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1710497805
RAVEN S RYE
SHREVEPORT, LA
NPI
1710497805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 13137)
Enumeration Date
2017-10-03
Last Update Date
2018-03-17
Business Address
RAVEN S RYE
4021 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-716-1717
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Mailing Address
RAVEN S RYE
2704 SHED RD APT 290N
BOSSIER CITY, LA 71111-3057
Phone number:
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