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Individual

EMILY PROVOSTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4919 CANAL ST, NEW ORLEANS, LA 70119-5848
(504) 483-9883
Mailing address
1406 MYSTERY ST, NEW ORLEANS, LA 70119-3043
(504) 756-7157

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
14707
LA
1041C0700X
Clinical Social Worker
14707
LA
171M00000X
Case Manager/Care Coordinator
Primary
14707
LA

Other

Enumeration date
03/05/2018
Last updated
04/29/2018
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