Individual
ELIZABETH ANN CAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(318) 625-7050
Mailing address
4208 HIGHWAY 454, PINEVILLE, LA 71360-1161
(318) 542-3422
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6673
OTHER
LA
Enumeration date
07/30/2022
Last updated
07/30/2022
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