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Individual

KELLY KATHRYN GAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2924 KNIGHT ST, STE. 434, SHREVEPORT, LA 71105-2415
(318) 631-1122
(318) 866-9622
Mailing address
2924 KNIGHT ST, STE. 434, SHREVEPORT, LA 71105-2415
(318) 631-1122
(318) 866-9622

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4293
LA

Other

Enumeration date
06/10/2011
Last updated
06/10/2011
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