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1962960351
BRANDON LEWIS-GRAHAM
SHREVEPORT, LA
NPI
1962960351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-03-05
Last Update Date
2019-03-05
Business Address
BRANDON LEWIS-GRAHAM MHS
3201 KNIGHT ST APT 2206
SHREVEPORT, LA 71105-2749
Phone number: 318-422-4209
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Mailing Address
BRANDON LEWIS-GRAHAM MHS
3201 KNIGHT ST APT 2206
SHREVEPORT, LA 71105-2749
Phone number: 318-422-4209
Copy
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