Individual
ARETHA FUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 HIGHWAY 2, STERLINGTON, LA 71280-3004
(318) 598-5040
Mailing address
805 STUBBS AVE STE A, MONROE, LA 71201-5579
(318) 614-4455
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372500000X
Chore Provider
372500000X
LA
372600000X
Adult Companion
372600000X
LA
Other
Enumeration date
03/06/2015
Last updated
11/09/2018
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