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Tamara Legquan Charles

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

NPI number1194357699
StatusActive
Last updated in NPPESJan 15, 2021

Details

NPI
1194357699
Entity type
Individual (NPI-1)
Name
Tamara Legquan Charles
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 12, 2020
Certification date
Jan 15, 2021
Last updated
Jan 15, 2021

Taxonomy and licenses

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

Practice location

124 Abigayle Row
Scott, LA 70583-8909

Phone 337-945-9459

Mailing address

124 Abigayle Row
Scott, LA 70583-8909

Phone 337-945-9459

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