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1861935462
TERRY SAVANNAH
SHREVEPORT, LA
NPI
1861935462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 472119580)
Enumeration Date
2016-11-30
Last Update Date
2016-11-30
Business Address
-- TERRY SAVANNAH
1500 NORTH MARKET STREET UNIT C SUITE 104
SHREVEPORT, LA 71107
Phone number: 318-626-5597
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Mailing Address
-- TERRY SAVANNAH
1500 N MARKET ST UNIT C SUITE 104
SHREVEPORT, LA 71107-6537
Phone number: 318-626-5597
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