Individual
MR. CLAUDE JACOBY HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
829 E GEORGIA AVE STE 3, RUSTON, LA 71270-3901
(318) 242-0730
(318) 242-0750
Mailing address
829 E GEORGIA AVE STE 3, RUSTON, LA 71270-3901
(318) 242-0730
(318) 242-0750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
009518652
LA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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