Individual
BETHANY LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
(504) 349-0404
Mailing address
1910 JOSEPHINE ST, NEW ORLEANS, LA 70113-1528
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
15183
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
03/14/2023
Last updated
03/14/2023
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