Individual
LISA W WODEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8608 HACKETT ST, METAIRIE, LA 70003-5846
(504) 858-0299
Mailing address
8608 HACKETT ST, METAIRIE, LA 70003-5846
(504) 858-0299
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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