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Individual

MR. LARRY L CARPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
6005 FINANCIAL PLZ, SHREVEPORT, LA 71129-2615
(318) 632-2040
(318) 632-2040
Mailing address
6005 FINANCIAL PLZ, SHREVEPORT, LA 71129-2615
(318) 632-2040
(318) 632-2040

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1012
LA

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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