Individual
CASEY NICHOLAS AUDIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA PSYCHOLOGY
Contact information
Practice address
829 E GEORGIA AVE, RUSTON, LA 71270-3912
(318) 242-0730
Mailing address
1408 TECH FARM RD APT D2, RUSTON, LA 71270-5464
(318) 918-8213
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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