Individual
KANDI S RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
856 TEXAS AVE, SHREVEPORT, LA 71101-3400
(318) 429-6938
Mailing address
190 WATSON LN, MANY, LA 71449-3981
(337) 353-5484
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW-12644
LA
171M00000X
Case Manager/Care Coordinator
Primary
RSW-12644
LA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
01/29/2016
Last updated
02/07/2022
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