Individual
IRINA SLEPTSOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
23515 HIGHWAY 190, MANDEVILLE, LA 70448-7334
(985) 626-6317
Mailing address
738 CLAIRE DR, MANDEVILLE, LA 70471-2861
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15245
LA
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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