SUMMER A MIXON

BOGALUSA, LA
NPI1700363066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-07-19
Last Update Date2018-08-30
Business Address
SUMMER A MIXON BS, CSW
542 COLUMBIA ST
BOGALUSA, LA 70427
Phone number: 985-735-9448
Mailing Address
SUMMER A MIXON BS, CSW
542 COLUMBIA ST
BOGALUSA, LA 70427-4720
Phone number: 985-735-9448
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