Individual
DESTINY NICOLE MCLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12628 HOOPER RD, BATON ROUGE, LA 70818-3500
(225) 953-8170
Mailing address
8275 VINCENT RD APT 2001, DENHAM SPRINGS, LA 70726-6274
(225) 788-2430
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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