Individual
VANICE ZENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
843 MILLING AVE, LULING, LA 70070-4442
(504) 575-3712
(504) 575-3691
Mailing address
2526 STANTON LN, SLIDELL, LA 70460-3924
(985) 641-4061
(504) 575-3691
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7440
LA
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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