ELISIA MINTON

SHREVEPORT, LA
NPI1982197851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-06-14
Last Update Date2019-06-12
Business Address
ELISIA MINTON
7330 FERN AVE STE 1102
SHREVEPORT, LA 71105-4989
Phone number: 318-524-9954
Mailing Address
ELISIA MINTON
7330 FERN AVE STE 1102
SHREVEPORT, LA 71105-4989
Phone number: 318-524-9954