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1922500610
ALEXIS VICTORIA RACHEL HARRELL
SHREVEPORT, LA
NPI
1922500610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
ALEXIS VICTORIA RACHEL HARRELL
1543 GRIMMETT DR
SHREVEPORT, LA 71107-6505
Phone number: 318-754-9421
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Mailing Address
ALEXIS VICTORIA RACHEL HARRELL
1543 GRIMMETT DR
SHREVEPORT, LA 71107-6505
Phone number: 318-754-9421
Copy
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