Individual
DYLAN J SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2763 LAKE PERIQUE DR, PAULINA, LA 70763-2501
(225) 331-0580
Mailing address
PO BOX 579, LUTCHER, LA 70071-0579
(225) 715-1001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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