Individual
KAITLIN BRIANNA PHARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12628 HOOPER RD, BATON ROUGE, LA 70818-3500
(225) 953-8170
Mailing address
11053 HOOPER RD, BATON ROUGE, LA 70818-3216
(225) 603-2759
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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