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Individual

FALLON NUNSANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4718 HEARNE AVE, SHREVEPORT, LA 71108-2703
(318) 828-1521
(318) 562-3461
Mailing address
4718 HEARNE AVE, SHREVEPORT, LA 71108-2703
(318) 828-1521
(318) 562-3461

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LA
171M00000X
Case Manager/Care Coordinator
Primary
LA

Other

Enumeration date
06/10/2019
Last updated
06/18/2019
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