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Shalese Mitchell

Case Manager/Care Coordinator in Bossier City, LA. Individual provider (NPI-1).

NPI number1114686243
StatusActive
Last updated in NPPESDec 16, 2021

Details

NPI
1114686243
Entity type
Individual (NPI-1)
Name
Shalese Mitchell
Sex
Female
Sole proprietor
No
Enumeration date
Dec 16, 2021
Certification date
Dec 16, 2021
Last updated
Dec 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

3018 Old Minden Rd Ste 1117
Bossier City, LA 71112-2497

Phone 318-746-1935

Mailing address

3018 Old Minden Rd Ste 1117
Bossier City, LA 71112-2497

Phone 318-746-1935

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