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Organization
GROWING UP CHILDREN'S CLINIC LLC
Active
Organization
GROWING UP CHILDREN'S CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAPHNE ANN COLLINS (OFFICE MANAGER)
(504) 392-2580
Entity
Organization
Contact information
Practice address
145 LAPALCO BLVD, SUITE B, GRETNA, LA 70056-7149
(504) 392-2580
(504) 392-2527
Mailing address
145 LAPALCO BLVD, SUITE B, GRETNA, LA 70056-7149
(504) 392-2580
(504) 392-2527
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
023017
LA
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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