Individual
BROOKLYN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15053 E LAKEFRONT DR, GONZALES, LA 70737-7077
(225) 202-3323
Mailing address
38035 POST OFFICE RD APT 22A, PRAIRIEVILLE, LA 70769-4292
(205) 983-2402
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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