Individual
CAROLYN MCKINSEY DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1986 DALLAS DR, SUITE 9, BATON ROUGE, LA 70806-1400
(225) 926-7570
(225) 926-7578
Mailing address
2035 WOODDALE BLVD STE E, BATON ROUGE, LA 70806-1517
(225) 302-7729
(225) 330-4785
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200385423
TAX ID
LA
Enumeration date
07/03/2007
Last updated
01/03/2019
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