Individual
DR. KELLY NICOLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3646 MAGAZINE ST, NEW ORLEANS, LA 70115-2554
(504) 899-1682
Mailing address
3646 MAGAZINE ST, NEW ORLEANS, LA 70115-2554
(504) 899-1682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13104
LA
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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