Individual
LISA DE WAARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2626 CANAL ST STE 201, NEW ORLEANS, LA 70119-6434
(504) 525-2366
Mailing address
2626 CANAL ST STE 201, NEW ORLEANS, LA 70119-6434
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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