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Individual

CORYNTHIA POUNCIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 LEE ST, ALEXANDRIA, LA 71301-6234
(318) 625-7050
(318) 625-7197
Mailing address
1500 LEE ST, ALEXANDRIA, LA 71301-6234
(318) 625-7050
(318) 625-7197

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NONE
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
LA
Enumeration date
02/01/2020
Last updated
02/01/2020
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