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1952968802
TRACY PURVIS
SHREVEPORT, LA
NPI
1952968802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 5120)
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
Mrs. TRACY PURVIS LPC
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-361-8938
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Mailing Address
Mrs. TRACY PURVIS LPC
319 STANLEY FOMBY RD
SHONGALOO, LA 71072-2009
Phone number: 985-209-7150
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