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1841717881
TY'ASIA ALLEN
SHREVEPORT, LA
NPI
1841717881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-29
Last Update Date
2017-08-29
Business Address
TY'ASIA ALLEN
200 N THOMAS DR
SHREVEPORT, LA 71107-6503
Phone number: 318-424-8345
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Mailing Address
TY'ASIA ALLEN
200 N THOMAS DR
SHREVEPORT, LA 71107-6503
Phone number: 318-424-8345
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