Individual
GLORY DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 DIXIE PLZ, NATCHITOCHES, LA 71457-5881
(318) 357-9008
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
10/10/2018
Last updated
12/05/2018
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