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Individual

BRIDGET CONBOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1525 RIVER OAKS RD W, NEW ORLEANS, LA 70123-2162
(504) 734-1740
Mailing address
610 HAGAN AVE, NEW ORLEANS, LA 70119-4913

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15298
LA
104100000X
Social Worker
87697
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15298
LOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS
LA
01
87697
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
07/03/2019
Last updated
07/03/2019
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