Individual
DESIREE SHUMOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
733 DANTE ST, NEW ORLEANS, LA 70118-1013
(504) 517-1711
Mailing address
1517 BURDETTE ST, NEW ORLEANS, LA 70118-4003
(818) 414-0495
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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