NICOLE DANTZLER

BASTROP, LA
NPI1063877702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-12-23
Last Update Date2021-10-07
Business Address
NICOLE DANTZLER
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number: 318-239-3890
Mailing Address
NICOLE DANTZLER
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number: