Individual
MR. GASPER JAMES BONGIOVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2626 CANAL ST, SUITE 201, NEW ORLEANS, LA 70119-6410
(504) 525-2366
(504) 525-7525
Mailing address
2626 CANAL ST, SUITE 201, NEW ORLEANS, LA 70119-6410
(504) 432-4796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5162
LA
Other
Enumeration date
04/21/2011
Last updated
04/08/2013
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