KELLIE MANDYGO

SHREVEPORT, LA
NPI1720520752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2016-11-08
Last Update Date2019-07-24
Business Address
KELLIE MANDYGO
3341 YOUREE DR
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4167
Mailing Address
KELLIE MANDYGO
3341 YOUREE DR
SHREVEPORT, LA 71105-2149
Phone number:
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