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1881163509
LAVONDA MOORE
SHREVEPORT, LA
NPI
1881163509
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Professional Name
LAVONDA MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA 005486967)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
LAVONDA MOORE
7607 FERN AVE STE 404405
SHREVEPORT, LA 71105-5739
Phone number: 318-284-8481
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Mailing Address
LAVONDA MOORE
7607 FERN AVE STE 404405
SHREVEPORT, LA 71105-5739
Phone number: 318-284-8481
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