Individual
DORETHEA HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
109 YORKTOWN DR STE A, ALEXANDRIA, LA 71303-3673
(318) 542-4288
(318) 704-6201
Mailing address
109 YORKTOWN DR STE A, ALEXANDRIA, LA 71303-3673
(318) 542-4288
(318) 704-6201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
10/18/2018
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