Individual
AHASIA COLLINS ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 EE WALLACE BLVD S, FERRIDAY, LA 71334-3224
(318) 757-9363
Mailing address
615 EE WALLACE BLVD S, FERRIDAY, LA 71334-3224
(318) 757-9363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PLPC9360
LA
104100000X
Social Worker
13218
LA
171M00000X
Case Manager/Care Coordinator
Primary
PLC9360
LA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
08/21/2017
Last updated
10/16/2023
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