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1942976063
EBONY CAPRICE BEAL-COLLINS
SHREVEPORT, LA
NPI
1942976063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
EBONY CAPRICE BEAL-COLLINS
2920 KNIGHT ST STE 110
SHREVEPORT, LA 71105-2412
Phone number: 318-459-1600
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Mailing Address
EBONY CAPRICE BEAL-COLLINS
5324 HOLLYHOCK LN
BOSSIER CITY, LA 71112-4920
Phone number: 318-294-6712
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