MISTY JOHNETTA ROSS

SHREVEPORT, LA
NPI1699245928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2018-11-29
Last Update Date2021-12-28
Business Address
MISTY JOHNETTA ROSS
2942 KNIGHT ST. BLDG. 4 SUITE 426
SHREVEPORT, LA 71105
Phone number: 318-754-3560
Mailing Address
MISTY JOHNETTA ROSS
3555 CEDAR CREEK DR APT 913
SHREVEPORT, LA 71118-2349
Phone number: 318-564-7436
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