Individual
MS. DEBORAH A CARGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23515 HIGHWAY 190, MANDEVILLE, LA 70448-7334
(985) 624-4100
(985) 624-4123
Mailing address
23515 HIGHWAY 190, MANDEVILLE, LA 70448-7334
(985) 624-4100
(985) 624-4123
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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