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General NPI Number Information
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NPI Number | 1124493218
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Entity Type | Individual
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Provider Name | MARY STRONG LPC-S, RPT, CAS
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Gender | Female
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 01/20/2024
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Provider Practice Location Address
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Address Line | 3018 OLD MINDEN RD STE 1206
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City | BOSSIER CITY
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State | LA
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Zip | 71112-2543
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Country | US
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Telephone | 318-350-7676
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Fax | 318-350-6767
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Provider Business Mailing Address
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Address Line | 731 ACKLEN ST STE 230
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City | SHREVEPORT
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State | LA
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Zip | 71104-3901
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Country | US
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Telephone | 318-670-8858
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Fax | 318-670-8947
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 86068
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7144
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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