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1437801487
JARROD WAYNE STATUM
LAKE CHARLES, LA
NPI
1437801487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 17045)
Enumeration Date
2022-01-20
Last Update Date
2022-02-02
Business Address
Mr. JARROD WAYNE STATUM RSW
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601-5391
Phone number: 337-990-5305
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Mailing Address
Mr. JARROD WAYNE STATUM RSW
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601-5391
Phone number: 337-990-5305
Copy
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