Individual
MRS. DORIS ANN AUGUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER DEGREE
Contact information
Practice address
3173 WASHINGTON AVE, BATON ROUGE, LA 70802-2178
(225) 778-7678
(225) 341-6825
Mailing address
3173 WASHINGTON AVE, BATON ROUGE, LA 70802-2178
(225) 778-7678
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271057813
—
LA
Enumeration date
02/04/2014
Last updated
11/22/2023
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