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1861849879
MARIAISABEL GARCIA TREVINO
SHREVEPORT, LA
NPI
1861849879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
-- MARIAISABEL GARCIA TREVINO
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-742-3406
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Mailing Address
-- MARIAISABEL GARCIA TREVINO
115 WILSON ST
DERIDDER, LA 70634-3823
Phone number: 337-401-8656
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