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Individual

DANTRELL MCKNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(877) 418-2978
(866) 500-2186
Mailing address
1723 DANTE ST, NEW ORLEANS, LA 70118-2835
(504) 908-0774

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA

Other

Enumeration date
06/27/2024
Last updated
06/27/2024
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