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Individual

MS. MAGGIE GREMILLION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2601 TULANE AVE, SUITE 500, NEW ORLEANS, LA 70119-7462
(504) 821-2601
Mailing address
1123 STATE ST, NEW ORLEANS, LA 70118-5950
(318) 452-4009

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11596
LA

Other

Enumeration date
08/27/2013
Last updated
03/30/2016
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