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Individual

MS. KAMMI RANDOLPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
128 DEMANADE BLVD, LAFAYETTE, LA 70503-2567
(225) 261-7143
Mailing address
1023 EAGLE ST, FRANKLIN, LA 70538-4135
(337) 940-2346

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/25/2021
Last updated
05/25/2021
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