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Individual
NYRA HOOD
Active
Individual
NYRA HOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10963
LA
171M00000X
Case Manager/Care Coordinator
10963
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
10963
LA
Other
Enumeration date
11/30/2016
Last updated
06/23/2023
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