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1992079131
CARISSA RUTHERFORD MITCHELL
METAIRIE, LA
NPI
1992079131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1404)
Enumeration Date
2012-03-06
Last Update Date
2012-03-06
Business Address
Mrs. CARISSA RUTHERFORD MITCHELL CAC
1901B AIRLINE DR
METAIRIE, LA 70001-5936
Phone number: 504-833-4673
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Mailing Address
Mrs. CARISSA RUTHERFORD MITCHELL CAC
1901B AIRLINE DR
METAIRIE, LA 70001-5936
Phone number: 504-833-4673
Copy
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