Individual
DIANA K VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C, LCSW
Contact information
Practice address
1514 JEFFERSON HWY, CT-6, NEW ORLEANS, LA 70121-2429
(504) 842-9079
(504) 842-0130
Mailing address
1514 JEFFERSON HWY, CT-6, NEW ORLEANS, LA 70121-2429
(504) 842-9079
(504) 842-0130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13721
MD
1041C0700X
Clinical Social Worker
Primary
13816
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532201400
—
MD
05
—
615501400
—
MD
Enumeration date
03/23/2007
Last updated
10/18/2016
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