MICKIE DAVINA WOODALL

SLIDELL, LA
NPI1932770948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  221224)
Enumeration Date2021-07-09
Last Update Date2021-07-09
Business Address
MICKIE DAVINA WOODALL PMHNP
113 CHRISTIAN LN
SLIDELL, LA 70458-1377
Phone number: 504-575-3712
Mailing Address
MICKIE DAVINA WOODALL PMHNP
2900 INDIANA AVE
KENNER, LA 70065-4605
Phone number: 504-575-3712
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