Individual
DEIRDRA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 COURT ST, PORT ALLEN, LA 70767-2747
(225) 245-9070
(225) 245-9073
Mailing address
415 COURT ST, PORT ALLEN, LA 70767-2747
(225) 245-9070
(225) 245-9073
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1234
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
07/07/2017
Last updated
07/21/2022
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