Individual
SKYLER ELIZABETH TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17445 BAYWOOD DR, PONCHATOULA, LA 70454-4949
(985) 351-6600
Mailing address
17445 BAYWOOD DR, PONCHATOULA, LA 70454-4949
(985) 351-6600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16092
LA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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