Individual
MRS. AMI MICHELLE ALTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
6095 HWY 105, GLOSTER, LA 71030
(337) 308-5329
Mailing address
6095 HWY 105, GLOSTER, LA 71030
(337) 308-5329
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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