Individual
KATORIA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3936 GREENWOOD RD, SHREVEPORT, LA 71109-6409
(318) 636-6002
Mailing address
3936 GREENWOOD RD, SHREVEPORT, LA 71109-6409
(318) 636-6002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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