Individual
MAYRIE EJIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12700 HAYNE BLVD, NEW ORLEANS, LA 70128-1309
(504) 563-7165
Mailing address
12700 HAYNE BLVD, NEW ORLEANS, LA 70128-1309
(504) 563-7165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/23/2015
Last updated
12/13/2022
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