Individual
LATINA JOLIVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2309 MANHATTAN BLVD STE 5, HARVEY, LA 70058-7320
(504) 378-6146
Mailing address
2309 MANHATTAN BLVD STE 5, HARVEY, LA 70058-7320
(504) 378-6146
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12194
LA
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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