Individual
TRAIG VARNADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
119 VILLAGE ST, SLIDELL, LA 70458-5301
(504) 813-5665
(985) 639-3665
Mailing address
119 VILLAGE ST, SLIDELL, LA 70458-5301
(504) 813-5665
(985) 639-3665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6387
LA
1041C0700X
Clinical Social Worker
Primary
6387
LA
Other
Enumeration date
10/18/2012
Last updated
07/20/2014
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