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1780054924
DEBRA KENNON
SHREVEPORT, LA
NPI
1780054924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-09-30
Last Update Date
2019-07-02
Business Address
DEBRA KENNON
1301 YOUREE DR
SHREVEPORT, LA 71101-5117
Phone number: 318-675-0804
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Mailing Address
DEBRA KENNON
1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
Phone number: 318-742-3408
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