Individual
MACKENZIE L SCALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 TIOGA RD, BALL, LA 71405-3989
(866) 530-6111
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19005
LA
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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