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Individual

DEKEVIA NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
429 W AIRLINE HWY STE H, LA PLACE, LA 70068-3817
(985) 618-3403
(985) 618-3404
Mailing address
429 W AIRLINE HWY STE H, LA PLACE, LA 70068-3817
(318) 219-6112
(318) 219-6112

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/17/2025
Last updated
06/17/2025
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