Individual
DONETTE SCROGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6605 VENUS DR, SHREVEPORT, LA 71119
(318) 294-8508
Mailing address
800 SPRING ST STE 205, SHREVEPORT, LA 71101-3757
(318) 402-9983
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
009113967
LA
Other
Enumeration date
06/03/2016
Last updated
06/01/2018
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