Individual
AKIAVA OUTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N 31ST ST STE 2, MONROE, LA 71201-3947
(318) 855-3868
Mailing address
801 N 31ST ST STE 2, MONROE, LA 71201-3947
(318) 855-3868
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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