Individual
AUDRIE OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 STONEBURG DR, DUSON, LA 70529-3947
(910) 520-3207
Mailing address
214 STONEBURG DR, DUSON, LA 70529-3947
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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