Individual
MILTON MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2781 S COLUMBIA ST STE A, BOGALUSA, LA 70427-7962
(985) 377-4572
Mailing address
2781 S COLUMBIA ST STE A, BOGALUSA, LA 70427-7962
(985) 377-4572
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
225A00000X
Music Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-2880521
—
LA
Enumeration date
09/11/2020
Last updated
11/27/2023
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