EDWARD BLUE

LAKE CHARLES, LA
NPI1114490802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-01-07
Last Update Date2019-01-07
Business Address
EDWARD BLUE
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014
Mailing Address
EDWARD BLUE
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014