Individual
AGATHA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 CARTER ST STE 3, VIDALIA, LA 71373-3227
(318) 414-3065
(318) 414-3067
Mailing address
1109 CARTER ST STE 3, VIDALIA, LA 71373-3227
(318) 414-3065
(318) 414-3067
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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