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1871145540
KELSEY LONG
SHREVEPORT, LA
NPI
1871145540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: LA 5308)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
Ms. KELSEY LONG
8873 QUIMPER PL
SHREVEPORT, LA 71105-5620
Phone number: 318-686-0012
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Mailing Address
Ms. KELSEY LONG
8873 QUIMPER PL
SHREVEPORT, LA 71105-5620
Phone number: 318-686-0012
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