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1922537430
DEMETRIUS GEORGE
SHREVEPORT, LA
NPI
1922537430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
DEMETRIUS GEORGE
2352 FERNBROOK DR
SHREVEPORT, LA 71118-5215
Phone number: 318-393-5543
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Mailing Address
DEMETRIUS GEORGE
2352 FERNBROOK DR
SHREVEPORT, LA 71118-5215
Phone number: 318-393-5543
Copy
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