Individual
ACQUIRIA M MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 OLIVE ST, SHREVEPORT, LA 71104-2103
(318) 300-3560
(318) 300-3560
Mailing address
925 OLIVE ST, SHREVEPORT, LA 71104-2103
(318) 300-3560
(318) 300-3560
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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