Bethany M Common
Case Manager/Care Coordinator in Lafayette, LA. Individual provider (NPI-1).
NPI number1164040119
StatusActive
Last updated in NPPESJul 7, 2020
Details
- NPI
- 1164040119
- Entity type
- Individual (NPI-1)
- Name
- Miss Bethany M Common
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2020
- Certification date
- Jul 7, 2020
- Last updated
- Jul 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
700 Saint Landry StLafayette, LA 70506-4630
Phone 337-210-5145
Mailing address
700 Saint Landry StLafayette, LA 70506-4630
Phone 337-210-5145
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