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1710916044
DANIEL GRANTHAM
SHREVEPORT, LA
NPI
1710916044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 3079)
Enumeration Date
2006-06-30
Last Update Date
2023-12-20
Business Address
Mr. DANIEL GRANTHAM LPC
1002 HIGHLAND AVE STE 300
SHREVEPORT, LA 71101-4143
Phone number: 318-222-6226
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Mailing Address
Mr. DANIEL GRANTHAM LPC
510 E STONER AVE STE 300
SHREVEPORT, LA 71101-4243
Phone number: 318-990-2317
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