Individual
CARRINGTON CAMMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 LAKE ST, LAKE PROVIDENCE, LA 71254-5208
(318) 559-0551
Mailing address
110 UNIVERSITY ST, TALLULAH, LA 71282-2504
(318) 493-2038
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
08/24/2021
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