Organization
HEATHER DUPLECHAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYLIE GRAY (OFFICE MANAGER)
(337) 458-8569
Entity
Organization
Contact information
Practice address
913 ALFRED ST, SCOTT, LA 70583-5117
(337) 458-8569
(337) 504-2871
Mailing address
913 ALFRED ST, SCOTT, LA 70583-5117
(337) 458-8569
(337) 504-2871
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2480049
—
LA
Enumeration date
11/04/2020
Last updated
11/04/2020
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