Individual
JANET S VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
HIV CLINIC, 136 S. ROMAN STREET- 3RD FLOOR, NEW ORLEANS, LA 70112
(504) 903-0907
Mailing address
1340 POYDRAS ST, SUITE 1640, NEW ORLEANS, LA 70112-1221
(504) 412-1835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2782
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468126
—
LA
Enumeration date
07/24/2006
Last updated
10/29/2008
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