Individual
BONNIE PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4629 VOSS DR, BOSSIER CITY, LA 71111-2744
(318) 517-9473
Mailing address
4629 VOSS DR, BOSSIER CITY, LA 71111-2744
(318) 517-9473
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/21/2019
Last updated
04/21/2019
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