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Individual

SUSAN GRACE KILLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CESP, CWIC

Contact information

Practice address
411 S. PRIEUR ST, HUMAN DEVELOPMENT CENTER, NEW ORLEANS, LA 70112
(504) 556-7588
(504) 556-7574
Mailing address
5 PALM TER, NEW ORLEANS, LA 70115-4735
(504) 812-7276
(504) 556-7574

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/28/2015
Last updated
08/28/2015
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