RANDALL DEVALL

GREENWELL SPRINGS, LA
NPI1740791771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2017-10-17
Last Update Date2019-07-01
Business Address
RANDALL DEVALL
6685 SULLIVAN RD STE B
GREENWELL SPRINGS, LA 70739-3112
Phone number: 225-261-0160
Mailing Address
RANDALL DEVALL
6685 SULLIVAN RD STE B
GREENWELL SPRINGS, LA 70739-3112
Phone number:
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