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1942814389
COURTNEY RAYBURN
SHREVEPORT, LA
NPI
1942814389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-02
Last Update Date
2020-09-02
Business Address
COURTNEY RAYBURN NCTTP
9413 PRESTONWOOD DR
SHREVEPORT, LA 71115-3733
Phone number: 318-464-3115
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Mailing Address
COURTNEY RAYBURN NCTTP
9413 PRESTONWOOD DR
SHREVEPORT, LA 71115-3733
Phone number: 318-464-3115
Copy
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