Individual
CARISSA KIMBERLY KOLAKAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3520 DRYADES ST, NEW ORLEANS, LA 70115-5331
(504) 654-9294
Mailing address
4309 ANNUNCIATION ST, NEW ORLEANS, LA 70115-1438
(504) 715-3025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PENDING
LA
Other
Enumeration date
07/24/2007
Last updated
04/22/2013
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