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1710351853
SHAUNTRICE MITCHELL
BOSSIER CITY, LA
NPI
1710351853
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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
2019-11-27
Business Address
SHAUNTRICE MITCHELL A.S., MHS
2285 BENTON RD STE D103
BOSSIER CITY, LA 71111-3465
Phone number: 318-584-7197
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Mailing Address
SHAUNTRICE MITCHELL A.S., MHS
PO BOX 29372
SHREVEPORT, LA 71149-9372
Phone number: 318-670-8898
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