Individual
JACQUELINE CASEY CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
NORTH STADIUM DRIVE ATHLETICS ADMINISTRATION BUILDING, BATON ROUGE, LA 70803-0001
(225) 578-2050
(392) 422-5578
Mailing address
9051 EASTLAKE AVE, BATON ROUGE, LA 70810-0404
(225) 610-8875
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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