MITSI TONETTE LONG

SHREVEPORT, LA
NPI1740801752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  210781)
Enumeration Date2020-04-30
Last Update Date2020-04-30
Business Address
MITSI TONETTE LONG PMHNP
3341 YOUREE DR STE 205
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4167
Mailing Address
MITSI TONETTE LONG PMHNP
143 INWOOD RD
TEXARKANA, TX 75501-8768
Phone number: 903-293-6679
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