Organization
NEAL W.ANGRUM
Active
Organization
NEAL W.ANGRUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEAL WADE ANGRUM (OWNER)
(318) 450-1478
Entity
Organization
Contact information
Practice address
10249 HWY 67, CLINTON, LA 70722
(225) 683-3997
(318) 651-9107
Mailing address
408 THATCHER LN, MONROE, LA 71203-6516
(318) 450-1478
(318) 651-9107
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1409456
LA
Other
Enumeration date
03/25/2008
Last updated
06/12/2008
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