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Individual

AUTUMN ENGLISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4210 N I-10 SERVICE RD W., METAIRIE, LA 70006
(877) 418-2978
Mailing address
4210 N I-10 SERVICE RD W., METAIRIE, LA 70006

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA

Other

Enumeration date
12/06/2022
Last updated
12/06/2022
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