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1740720721
STEPHANIE WHITE
SHREVEPORT, LA
NPI
1740720721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-02-24
Last Update Date
2017-02-24
Business Address
-- STEPHANIE WHITE
1500 N MARKET ST
SHREVEPORT, LA 71107-6537
Phone number: 318-626-5597
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Mailing Address
-- STEPHANIE WHITE
717 TECUMSEH TRL
SHREVEPORT, LA 71107-5321
Phone number: 318-300-9991
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