Individual
DERRICKA SPURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
775 S BONNER ST, RUSTON, LA 71270-5801
(318) 254-7050
(318) 254-7053
Mailing address
775 S BONNER ST, RUSTON, LA 71270-5801
(318) 254-7050
(318) 254-7053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
01/13/2017
Last updated
01/07/2019
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