Individual
DEANNA MOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 E NORTH ST, WINNFIELD, LA 71483-3276
(318) 628-1505
Mailing address
1000 CHINABERRY DR STE 902, BOSSIER CITY, LA 71111-2455
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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