Individual
DEMETRIS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11814 MARKET PLACE AVE STE B, BATON ROUGE, LA 70816-6084
(225) 223-6153
(225) 246-2420
Mailing address
11814 MARKET PLACE AVE STE B, BATON ROUGE, LA 70816-6084
(225) 223-6153
(225) 246-2420
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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