TY KITTLE

SHREVEPORT, LA
NPI1790227734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2016-11-08
Last Update Date2016-11-08
Business Address
TY KITTLE
7400 GLENLEAF RD LOT 168
SHREVEPORT, LA 71129-3718
Phone number: 860-307-3399
Mailing Address
TY KITTLE
7400 GLENLEAF RD LOT 168
SHREVEPORT, LA 71129-3718
Phone number: 860-307-3399
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