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1447624580
TYECHIA MITCHELL
SHREVEPORT, LA
NPI
1447624580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-29
Last Update Date
2018-05-29
Business Address
TYECHIA MITCHELL MHS
5902 BUNCOMBE RD
SHREVEPORT, LA 71129
Phone number: 318-670-8898
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Mailing Address
TYECHIA MITCHELL MHS
PO BOX 29372
SHREVEPORT, LA 71149-9372
Phone number: 318-670-8898
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