Individual
MR. DEIONTE VONTREAL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., MHS
Contact information
Practice address
4348 S JEFFREY DR, BATON ROUGE, LA 70816-4196
(225) 361-0219
Mailing address
8958 FOLLY BROWN RD, CLINTON, LA 70722-4443
(225) 244-1585
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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