Individual
CLARECE ZACHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
553 BURBRIDGE ST, PORT ALLEN, LA 70767-2126
(225) 877-0969
(225) 612-6347
Mailing address
553 BURBRIDGE ST, PORT ALLEN, LA 70767-2126
(225) 877-0969
(225) 612-6347
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
00000
LA
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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