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Edward Blue

Case Manager/Care Coordinator in Lake Charles, LA. Individual provider (NPI-1).

NPI number1114490802
StatusActive
Last updated in NPPESJan 7, 2019

Details

NPI
1114490802
Entity type
Individual (NPI-1)
Name
Edward Blue
Sex
Male
Sole proprietor
No
Enumeration date
Jan 7, 2019
Last updated
Jan 7, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1333 Common St
Lake Charles, LA 70601-5255

Phone 337-437-4014

Mailing address

1333 Common St
Lake Charles, LA 70601-5255

Phone 337-437-4014

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