Individual
MALLORY MARIE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 TULANE AVE RM 4500, NEW ORLEANS, LA 70112-2632
(504) 988-5217
Mailing address
1430 TULANE AVE # 8611, NEW ORLEANS, LA 70112-2632
(504) 988-5217
(504) 988-1846
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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