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Bruce Lamar Addison Jr.

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

NPI number1720793003
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1720793003
Entity type
Individual (NPI-1)
Name
Bruce Lamar Addison Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 20, 2023
Certification date
Jan 20, 2023
Last updated
Sep 29, 2026

Taxonomy and licenses

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

Practice location

2101 Tower Dr Ste B
Monroe, LA 71201-5045

Phone 318-570-5400 · Fax 318-323-1400

Mailing address

2101 Tower Dr Ste B
Monroe, LA 71201-5045

Phone 318-570-5400 · Fax 318-323-1400

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