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Individual

MERSHELL KINGSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
325 PIAS DAVIS RD, HOMER, LA 71040-2142
(318) 918-3708
Mailing address
325 PIAS DAVIS RD, HOMER, LA 71040-2142
(318) 918-3708

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103K00000X
Behavior Analyst

Other

Enumeration date
03/29/2023
Last updated
03/29/2023
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