Individual
CAROLINA MICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
206 CLINIC DR, DONALDSONVILLE, LA 70346
(225) 264-6670
(225) 264-6671
Mailing address
604 POPLAR ST, THIBODAUX, LA 70301-2145
(985) 438-6525
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
11/16/2025
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