Charles Dickerson
Case Manager/Care Coordinator in New Orleans, LA. Individual provider (NPI-1).
NPI number1982174223
StatusActive
Last updated in NPPESJan 15, 2019
Details
- NPI
- 1982174223
- Entity type
- Individual (NPI-1)
- Name
- Charles Dickerson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2018
- Last updated
- Jan 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | LA | Yes |
Practice location
7240 Crowder Blvd Ste 202New Orleans, LA 70127-1920
Phone 504-641-4577 · Fax 504-641-4578
Mailing address
7240 Crowder Blvd Ste 202New Orleans, LA 70127-1920
Phone 504-641-4577 · Fax 504-641-4578
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