Individual
KELCI MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 SPAIN ST, NEW ORLEANS, LA 70117-8329
(425) 879-6939
Mailing address
1324 SPAIN ST, NEW ORLEANS, LA 70117-8329
(425) 879-6939
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
LA
Other
Enumeration date
12/08/2014
Last updated
12/09/2014
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