Individual
AVERY ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2156 WOODDALE BLVD STE 750, BATON ROUGE, LA 70806-1404
(225) 365-9968
Mailing address
2156 WOODDALE BLVD STE 750, BATON ROUGE, LA 70806-1404
(225) 365-9968
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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