IBTISAM N ISSA

SHREVEPORT, LA
NPI1770278970
Other NameSAM ISSA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: LA  L-691)
Enumeration Date2023-04-05
Last Update Date2023-04-05
Business Address
IBTISAM N ISSA
925 OLIVE ST
SHREVEPORT, LA 71104-2103
Phone number: 318-300-3560
Mailing Address
IBTISAM N ISSA
925 OLIVE ST
SHREVEPORT, LA 71104-2103
Phone number: 318-300-3560
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