Individual
MS. MICHELLE MARIE WAGHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5713 MARCIE ST, METAIRIE, LA 70003-1909
(504) 439-1969
Mailing address
5713 MARCIE ST, METAIRIE, LA 70003-1909
(504) 439-1969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11160
LA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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