Individual
MS. TOBI MOORE PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 MANHATTAN, HARVEY, LA 70058
(504) 544-6029
(504) 349-8686
Mailing address
501 MANHATTAN, HARVEY, LA 70058
(504) 544-6029
(504) 349-8686
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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