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Tanya Fanette Robertson

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

NPI number1669989596
StatusActive
Last updated in NPPESMay 23, 2018

Details

NPI
1669989596
Entity type
Individual (NPI-1)
Name
Tanya Fanette Robertson
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 30, 2017
Last updated
May 23, 2018

Taxonomy and licenses

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

Practice location

1304 Bertrand Dr Ste B2
Lafayette, LA 70506

Phone 337-484-1227

Mailing address

2232 Mills St Lot A
Lafayette, LA 70507-2818

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