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1114447109
JERRY MITCHELL
CROWLEY, LA
NPI
1114447109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-06-21
Last Update Date
2022-07-21
Business Address
JERRY MITCHELL
19157 CROWLEY EUNICE HWY
CROWLEY, LA 70526
Phone number: 337-514-2101
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Mailing Address
JERRY MITCHELL
19157 CROWLEY EUNICE HWY
CROWLEY, LA 70526-0801
Phone number: 337-514-2101
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