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Individual

SANDRA SMITH FARGERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., L.P.C., N.C.C.

Contact information

Practice address
900 PIERREMONT RD, SUITE 217, SHREVEPORT, LA 71106-2044
(318) 868-1165
(318) 868-1180
Mailing address
104 DEVEREAUX DR, BOSSIER CITY, LA 71111-6128
(318) 742-3895

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3746
LA

Other

Enumeration date
02/13/2007
Last updated
07/08/2007
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