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1760102172
TELLA HENDERSON
SHREVEPORT, LA
NPI
1760102172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 6822)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
Mrs. TELLA HENDERSON
7505 PINES RD
SHREVEPORT, LA 71129-3935
Phone number: 318-562-3707
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Mailing Address
Mrs. TELLA HENDERSON
7505 PINES RD
SHREVEPORT, LA 71129-3935
Phone number: 318-562-3707
Copy
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