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1841796679
DESTINY HARRIS
SHREVEPORT, LA
NPI
1841796679
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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
2018-04-02
Last Update Date
2018-05-14
Business Address
Ms. DESTINY HARRIS
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Phone number: 318-861-8938
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Mailing Address
Ms. DESTINY HARRIS
1513 LINE AVE STE 225
SHREVEPORT, LA 71101-4621
Phone number: 318-754-3890
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