Individual
MS. MIRIAM THELMA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
701 LOYOLA AVE, SUITE 106, NEW ORLEANS, LA 70113
(504) 558-9595
Mailing address
PO BOX 50140, NEW ORLEANS, LA 70150-0140
(504) 558-9595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12160
LA
1041C0700X
Clinical Social Worker
Primary
12160
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/01/2012
Last updated
07/20/2020
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