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1801062054
SHREVEPORT MENTAL HEALTH CENTER
SHREVEPORT, LA
NPI
1801062054
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Entity Type
Organization
Authorized Contact
CLEONA DENICE ROBINSON
Registered Nurse3
318-676-5135
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
(Licence: LA 79957)
Enumeration Date
2008-05-07
Last Update Date
2008-05-07
Business Address
SHREVEPORT MENTAL HEALTH CENTER
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5135
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Mailing Address
SHREVEPORT MENTAL HEALTH CENTER
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5135
Copy
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