SHADD PITTMAN

BOGALUSA, LA
NPI1831661792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: LA  2203782670)
Enumeration Date2018-12-17
Last Update Date2018-12-17
Business Address
SHADD PITTMAN
302 RICHMOND ST
BOGALUSA, LA 70427-3942
Phone number: 985-732-2089
Mailing Address
SHADD PITTMAN
302 RICHMOND ST
BOGALUSA, LA 70427-3942
Phone number: 985-732-2089