Individual provider · NPI-1

Samantha Bergeron

Case Manager/Care Coordinator · Crowley, LA

NPI number1366069627
StatusActive
Last updated in NPPESJul 2, 2020

Details

NPI
1366069627
Entity type
Individual (NPI-1)
Name
Samantha Bergeron
Sex
Female
Sole proprietor
No
Enumeration date
Jul 2, 2020
Certification date
Jul 2, 2020
Last updated
Jul 2, 2020

Taxonomy and licenses

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

Practice location

1325 Wright Ave
Crowley, LA 70526-2226

Phone 318-794-5162

Mailing address

1325 Wright Ave
Crowley, LA 70526-2226

Phone 318-794-5162

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