Individual
MRS. PATRICE ROLLAND KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
733 DANTE STREET, SARA MAYO HEALTHCARE CENTER, NEW ORLEANS, LA 70118
(504) 866-8819
(504) 866-8836
Mailing address
733 DANTE STREET, SARA MAYO HEALTHCARE CENTER, NEW ORLEANS, LA 70118
(504) 866-8819
(504) 866-8836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1398
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1142433
—
LA
01
—
P00176226
PALMETTO RR MEDICARE
LA
Enumeration date
05/22/2006
Last updated
07/08/2007
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