Individual
MIANEE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1067 WHITLOW CT, LA PLACE, LA 70068-5317
(985) 210-0031
Mailing address
1067 WHITLOW CT, LA PLACE, LA 70068-5317
(985) 210-0031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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