Individual
JERRICK KEMOND MCCASTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 LOBDELL AVE, BATON ROUGE, LA 70806-4612
(225) 612-8656
Mailing address
216 LOBDELL BLVD, BATON ROUGE, LA 70816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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