Individual
DESTANY DAJON PERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 SAINT JOHN ST, LAFAYETTE, LA 70501-6711
(337) 292-0417
Mailing address
1601 WILDCAT DR, ABBEVILLE, LA 70510-2507
(337) 255-4073
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/14/2021
Last updated
08/30/2021
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