CASEY DANIELLE MENDIETA

BOSSIER CITY, LA
NPI1780256305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: LA  R-9261)
Enumeration Date2021-07-13
Last Update Date2021-07-13
Business Address
Mrs. CASEY DANIELLE MENDIETA
2285 BENTON RD STE C200
BOSSIER CITY, LA 71111-3554
Phone number: 318-741-5909
Mailing Address
Mrs. CASEY DANIELLE MENDIETA
504 RUTLEDGE ST
SHREVEPORT, LA 71106-7825
Phone number: 318-550-7541
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