Individual
TERRY JAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5001 WESTBANK EXPY, MARRERO, LA 70072-2954
(504) 349-3740
Mailing address
3616 S I 10 SERVICE RD W, METAIRIE, LA 70001-1874
(504) 838-5257
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/27/2024
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