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Individual

MRS. CAROLYN CLAIRE ADAMS STAFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.O.T.R.

Contact information

Practice address
738 ROTHMER DR, BATON ROUGE, LA 70808-5534
(225) 276-8199
Mailing address
738 ROTHMER DR, BATON ROUGE, LA 70808-5534
(225) 276-8199

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200425
LA

Other

Enumeration date
07/20/2011
Last updated
07/20/2011
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