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Behavioral Health & Social Service Providers Social Worker

Provider NPI: 1538692108

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
4700 WICHERS DR STE 105 MARRERO, LA 70072-3041 US
Tel: 504-383-7448  Fax: 504-383-7448

Business Mailing Address:
4700 WICHERS DR STE 105 MARRERO, LA 70072-3041 US
Tel: 504-383-7448  Fax: 504-383-7448

NPI Information:
NPI: 1538692108
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 104100000X





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