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1972946283
TAMARA DIANE EWERT
BOSSIER CITY, LA
NPI
1972946283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 4830)
Enumeration Date
2013-04-17
Last Update Date
2013-04-17
Business Address
Mrs. TAMARA DIANE EWERT LPC
2216 WASHBURN WAY
BOSSIER CITY, LA 71111-5749
Phone number: 318-518-0487
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Mailing Address
Mrs. TAMARA DIANE EWERT LPC
2216 WASHBURN WAY
BOSSIER CITY, LA 71111-5749
Phone number: 318-518-0487
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