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1750718912
BRENDA J GANTT
SHREVEPORT, LA
NPI
1750718912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 5193)
Enumeration Date
2013-10-02
Last Update Date
2013-10-02
Business Address
-- BRENDA J GANTT LCSW
3400 NATHAN CIR
SHREVEPORT, LA 71108-5343
Phone number: 318-686-8995
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Mailing Address
-- BRENDA J GANTT LCSW
3400 NATHAN CIR
SHREVEPORT, LA 71108-5343
Phone number: 318-686-8995
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