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Individual

MYRA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
6240 GREENWOOD RD, SHREVEPORT, LA 71119-8413
(318) 632-2010
(318) 632-2055
Mailing address
6240 GREENWOOD RD, SHREVEPORT, LA 71119-8413
(318) 632-2010
(318) 632-2055

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
796
LA

Other

Enumeration date
06/28/2006
Last updated
07/08/2007
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