Individual
ALTRECIA MINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 E MADISON AVE, BASTROP, LA 71220-3833
(318) 239-3890
Mailing address
9191 OAK RIDGE RD # 16, MER ROUGE, LA 71261-9691
(318) 499-2322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
16037
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
04/12/2022
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