Individual
ANDRE A MALBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 E ACADEMY AVE, JENNINGS, LA 70546-5331
(337) 824-1255
(337) 824-1257
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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