Individual
BRITTANY WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 MOONRAKER DR, SLIDELL, LA 70458-5522
(985) 788-6532
Mailing address
159 MOONRAKER DR, SLIDELL, LA 70458-5522
(985) 788-6532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5167
LA
Other
Enumeration date
08/10/2015
Last updated
03/09/2017
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