Individual
HOPE SEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3043
(985) 272-1824
Mailing address
106 SAINT CROIX DR, MANDEVILLE, LA 70448-4767
(985) 400-1085
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
011468664
LA
Other
Enumeration date
07/11/2020
Last updated
07/11/2020
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