Organization
INNERCORE MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDRICK M. EBANKS (OWNER)
(225) 955-9527
Entity
Organization
Contact information
Practice address
637 SAINT FERDINAND ST, BATON ROUGE, LA 70802-6152
(225) 955-9527
(225) 240-1089
Mailing address
637 SAINT FERDINAND ST, BATON ROUGE, LA 70802-6152
(225) 627-3470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
04/07/2020
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