Individual
CASEY SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7207
Mailing address
3831 WHITES FERRY RD, APT 1, WEST MONROE, LA 71291-2006
(318) 355-4075
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2016
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CASEY4081
—
LA
Enumeration date
12/17/2010
Last updated
12/17/2010
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