Individual
ALEXIS YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 SATINWOOD CIR, HAUGHTON, LA 71037-9262
(318) 205-7768
Mailing address
138 SATINWOOD CIR, HAUGHTON, LA 71037-9262
(318) 205-7768
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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