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1942797717
ELICIA MICHELLE GLOVER
SHREVEPORT, LA
NPI
1942797717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
ELICIA MICHELLE GLOVER
2800 YOUREE DR STE 482
SHREVEPORT, LA 71104-3666
Phone number: 318-869-1899
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Mailing Address
ELICIA MICHELLE GLOVER
9230 BLUE SPRUCE DR
SHREVEPORT, LA 71118-2211
Phone number: 318-210-9017
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