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1043773575
RICHARD WARDLAW
BOSSIER CITY, LA
NPI
1043773575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
RICHARD WARDLAW NCSP (pending)
2323 OLD MINDEN RD STE 500
BOSSIER CITY, LA 71112-2305
Phone number: 318-584-7166
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Mailing Address
RICHARD WARDLAW NCSP (pending)
2323 OLD MINDEN RD STE 500
BOSSIER CITY, LA 71112-2305
Phone number: 318-584-7166
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