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Organization
MICHELLE L. WALL LLC
Active
Organization
MICHELLE L. WALL LLC
Active
Other names
ABC Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LEBLANC WALL (OWNER)
(225) 667-4014
Entity
Organization
Contact information
Practice address
11750 S HARRELLS FERRY RD, SUITE B, BATON ROUGE, LA 70816-2393
(225) 667-4014
Mailing address
PO BOX 1284, DENHAM SPRINGS, LA 70727-1284
(225) 667-4014
(225) 667-4886
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1323
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625272
—
LA
05
—
1625531
—
LA
Enumeration date
11/28/2007
Last updated
11/28/2007
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