Individual
ALVIN TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
644 E JEFFERSON AVE, BASTROP, LA 71220-4619
(318) 239-3862
Mailing address
123 CASON AVE, BASTROP, LA 71220-5005
(318) 974-5025
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
10/17/2016
Last updated
05/11/2020
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