Individual
EDNA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 MOCKINGBIRD ST, SAINT ROSE, LA 70087-3811
(504) 390-5454
Mailing address
339 MOCKINGBIRD ST, SAINT ROSE, LA 70087-3811
(504) 390-5454
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
04/11/2019
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