Individual
ANGENITA BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1425 WALKERTOWN WAY, MARRERO, LA 70072-2866
(504) 582-9563
Mailing address
1425 WALKERTOWN WAY, MARRERO, LA 70072-2866
(504) 582-9563
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/07/2016
Last updated
10/14/2024
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