Individual
ANANNA AZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 NI-10 SERVICE RD W., METAIRIE, LA 70006
(877) 418-2978
Mailing address
4201 NI-10 SERVICE RD W., METAIRIE, LA 70006
(877) 418-2978
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
LA
106S00000X
Behavior Technician
—
LA
Other
Enumeration date
08/02/2021
Last updated
09/24/2024
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