Individual
DANIELLE DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5720 S LAKESHORE DR APT 1009, SHREVEPORT, LA 71119-3932
(863) 669-6565
Mailing address
5720 S LAKESHORE DR APT 1009, SHREVEPORT, LA 71119-3932
(863) 669-6565
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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