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Individual

GENE STROGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1504 BARKSDALE BLVD., BOSSIER CITY, LA 71111
(318) 222-4299
Mailing address
1504 BARKSDALE BLVD, BOSSIER CITY, LA 71111-4602

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
721307411
TAX ID
LA
Enumeration date
01/19/2016
Last updated
01/19/2016
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