Individual
JARED KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4012 CARTER ST, VIDALIA, LA 71373-3013
(318) 336-8383
Mailing address
4012 CARTER ST, VIDALIA, LA 71373-3013
(318) 336-8383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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