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1922463546
TYRONICCA MINGO
ALEXANDRIA, LA
NPI
1922463546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-25
Last Update Date
2018-04-27
Business Address
TYRONICCA MINGO
217 BREVARD CT STE A
ALEXANDRIA, LA 71303-3997
Phone number: 318-445-9019
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Mailing Address
TYRONICCA MINGO
217 BREVARD CT STE A
ALEXANDRIA, LA 71303-3997
Phone number: 318-445-9019
Copy
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