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1841641891
JEROME SYDNOR
SHREVEPORT, LA
NPI
1841641891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
-- JEROME SYDNOR
1513 LINE AVE STE 225
SHREVEPORT, LA 71101-4621
Phone number: 318-754-3890
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Mailing Address
-- JEROME SYDNOR
1513 LINE AVE STE 225
SHREVEPORT, LA 71101-4621
Phone number: 318-754-3890
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