Individual
HEATHER GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1700 LAKE ST, LAKE PROVIDENCE, LA 71254-5208
(318) 559-0414
Mailing address
1700 LAKE ST, LAKE PROVIDENCE, LA 71254-5208
(318) 559-0414
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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