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Individual

MR. ANDON MICHAEL MITCHELL SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7946 GOODWOOD BLVD, BATON ROUGE, LA 70806-7629
(225) 590-3313
Mailing address
901 PECAN ST APT 38, HAMMOND, LA 70401-2373
(817) 729-0331

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/25/2017
Last updated
09/25/2017
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