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Individual

KEAUNDRIA HAMILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2717 JONATHAN LN, SHREVEPORT, LA 71108-5529
(318) 800-2655
Mailing address
2717 JONATHAN LN, SHREVEPORT, LA 71108-5529
(318) 800-2655

Taxonomy

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

Other

Enumeration date
05/04/2017
Last updated
05/04/2017
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