Individual
MR. JARRED ANDRE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RSW
Contact information
Practice address
936 N BON MARCHE DR, BATON ROUGE, LA 70806
(225) 478-9533
Mailing address
936 N BON MARCHE DR, BATON ROUGE, LA 70806-2257
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600723334
—
LA
Enumeration date
10/06/2015
Last updated
01/08/2019
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