Individual
TARA BREMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 S JEFFERSON AVE, COVINGTON, LA 70433-3137
(985) 892-3021
Mailing address
121 SHAUNELL DR, MANDEVILLE, LA 70448-3329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13925
LA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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