Individual
CARESSA ELZIA KAOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5455 HEBERTS PASS, LAKE CHARLES, LA 70607-7705
(337) 513-8036
Mailing address
5455 HEBERTS PASS, LAKE CHARLES, LA 70607-7705
(337) 513-8036
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
236037
LA
Other
Enumeration date
03/09/2011
Last updated
06/26/2024
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