Individual
JAVELLA MARIA RAHEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2219 BELLE RUELLE ST, NEW IBERIA, LA 70563-3075
(337) 519-0986
Mailing address
2219 BELLE RUELLE ST, NEW IBERIA, LA 70563-3075
(337) 519-0986
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6874
LA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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