Individual
MARY PERRAULT-SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
719 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70117-8511
(504) 568-3130
Mailing address
719 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70117-8511
(504) 568-3130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1179
LA
104100000X
Social Worker
Primary
—
LA
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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