Individual
CARLEY GANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 E 7TH AVE STE 2, OAKDALE, LA 71463-2788
(318) 335-1048
Mailing address
1000 CHINABERRY DR STE 902, BOSSIER CITY, LA 71111-2455
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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