Individual
MS. DAWN MARIE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1231 OLWEN DR, BOSSIER CITY, LA 71111-2734
(318) 553-0398
Mailing address
1231 OLWEN DR, BOSSIER CITY, LA 71111-2734
(318) 553-0398
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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