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1891130084
POSITIVE CHANGE COUNSELING AGENCY
SHREVEPORT, LA
NPI
1891130084
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Entity Type
Organization
Authorized Contact
MARTY TYRONE JOHNSON
Owner
318-779-8527
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2013-05-01
Last Update Date
2017-01-05
Business Address
POSITIVE CHANGE COUNSELING AGENCY
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
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Mailing Address
POSITIVE CHANGE COUNSELING AGENCY
348 W 79TH ST
SHREVEPORT, LA 71106-4820
Phone number: 318-688-8190
Copy
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