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Individual

JANELL ALEAN WALTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1238 EDITH ST., OPELOUSAS, LA 70570
(337) 592-2329
Mailing address
118 S OAK ST, OPELOUSAS, LA 70570-6112
(337) 592-2329
(337) 363-5221

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LA

Other

Enumeration date
05/15/2017
Last updated
08/08/2018
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