Individual
CELESTE WALTHER-MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
23515 HIGHWAY 190, MANDEVILLE, LA 70448-7334
(985) 626-6300
Mailing address
102 CHOCTAW PL, MANDEVILLE, LA 70471-1706
(985) 502-1976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW5880
LCSW
LA
Enumeration date
09/01/2017
Last updated
09/01/2017
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