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1871949016
CORMICK MITCHELL
LAFAYETTE, LA
NPI
1871949016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-05-06
Last Update Date
2018-05-30
Business Address
CORMICK MITCHELL M.A.Ed.
850 KALISTE SALOOM RD SUITE 117
LAFAYETTE, LA 70508
Phone number: 337-234-7109
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Mailing Address
CORMICK MITCHELL M.A.Ed.
850 KALISTE SALOOM RD SUITE 117
LAFAYETTE, LA 70508-4230
Phone number: 337-234-7109
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