Individual
DEONDRA LANESE MCGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2714 CANAL ST, NEW ORLEANS, LA 70119-5548
(504) 827-1086
Mailing address
5214 DAUPHINE ST, NEW ORLEANS, LA 70117-3730
(504) 427-6111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
10/22/2019
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