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1659745313
LATANYA MITCHELL
SHREVEPORT, LA
NPI
1659745313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-18
Last Update Date
2018-05-24
Business Address
LATANYA MITCHELL
2829 HOYTE DR
SHREVEPORT, LA 71118
Phone number: 318-550-1589
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Mailing Address
LATANYA MITCHELL
2829 HOYTE DR
SHREVEPORT, LA 71118-2503
Phone number: 318-550-1589
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