Individual
MR. DAVEN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1126 W AIRLINE HWY, LA PLACE, LA 70068-3717
(504) 994-3039
Mailing address
219 HISTORIC MAIN ST, GARYVILLE, LA 70051-3202
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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