Individual
CORWIN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
361 GRAYWOOD DR, MINDEN, LA 71055-7900
(318) 639-1565
Mailing address
361 GRAYWOOD DR, MINDEN, LA 71055-7900
(318) 639-1565
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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