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1801332663
KELLY RAY
SHREVEPORT, LA
NPI
1801332663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA PLPC5219)
Enumeration Date
2017-01-17
Last Update Date
2017-01-17
Business Address
-- KELLY RAY
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
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Mailing Address
-- KELLY RAY
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number:
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