Individual
CARLY REGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
(504) 762-8540
Mailing address
8000 HAMPSON ST, NEW ORLEANS, LA 70118-2737
(336) 314-3168
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
04/14/2022
Last updated
04/14/2022
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