Individual
AUTCHALO NICOLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
410 S FRANKLIN ST, BASTROP, LA 71220-4533
(318) 283-0773
Mailing address
1010 N 9TH ST, MONROE, LA 71201-5513
(318) 410-1062
(318) 410-1065
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
12/11/2018
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