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1982197851
ELISIA MINTON
SHREVEPORT, LA
NPI
1982197851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-14
Last Update Date
2019-06-12
Business Address
ELISIA MINTON
7330 FERN AVE STE 1102
SHREVEPORT, LA 71105-4989
Phone number: 318-524-9954
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Mailing Address
ELISIA MINTON
7330 FERN AVE STE 1102
SHREVEPORT, LA 71105-4989
Phone number: 318-524-9954
Copy
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