Individual
DEANGELO MINIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 MORRIS AVE, MONROE, LA 71202-2067
(318) 600-3962
Mailing address
201 MORRIS AVE, MONROE, LA 71202-2067
(318) 600-3962
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16221
LA
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
—
—
Other
Enumeration date
05/20/2020
Last updated
07/05/2024
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