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1144619842
MICHELE MARIE MIXON, LCSW
MANDEVILLE, LA
NPI
1144619842
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Entity Type
Organization
Authorized Contact
MICHELE MIXON
Owner
225-266-8122
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 8769)
Enumeration Date
2015-01-18
Last Update Date
2017-01-09
Business Address
MICHELE MARIE MIXON, LCSW
2244 11TH ST
MANDEVILLE, LA 70471-1824
Phone number: 225-266-8122
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Mailing Address
MICHELE MARIE MIXON, LCSW
2244 11TH ST
MANDEVILLE, LA 70471-1824
Phone number:
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