Individual
DANIELLE ALEXANDRIA GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 S 3RD ST, LEESVILLE, LA 71446-4930
(337) 238-4350
Mailing address
1100 S 3RD ST, LEESVILLE, LA 71446-4930
(337) 238-4350
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
11/07/2022
Last updated
09/15/2023
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