Individual
BRANDUS MAGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
350 GATEWAY DR, SLIDELL, LA 70461-5589
(985) 707-1410
(985) 707-1415
Mailing address
350 GATEWAY DR, SLIDELL, LA 70461-5589
(985) 707-1410
(985) 707-1415
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497221074
—
LA
Enumeration date
10/22/2018
Last updated
03/30/2020
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