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1720612344
KELLY L ROUSE
SHREVEPORT, LA
NPI
1720612344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: LA L-434)
Enumeration Date
2020-02-24
Last Update Date
2020-02-24
Business Address
MRS. KELLY L ROUSE LBA, BCBA
7607 FERN AVE SUITE 403
SHREVEPORT, LA 71105-5699
Phone number: 318-284-8481
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Mailing Address
MRS. KELLY L ROUSE LBA, BCBA
425 ELMWOOD ST
SHREVEPORT, LA 71104-5009
Phone number: 318-218-3920
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