Individual
MS. INDIA NICOLE MCDOUGALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7946 GOODWOOD BLVD, BATON ROUGE, LA 70806-7629
(225) 590-3313
Mailing address
1331 N SHERWOOD FOREST DR APT 212, BATON ROUGE, LA 70815-2058
(225) 916-3039
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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