Individual
MRS. CAROLYN DEGELOS WANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
701 METAIRIE RD STE 2A203, METAIRIE, LA 70005-4061
(504) 669-7579
(504) 454-6180
Mailing address
2 WAVERLY PL, METAIRIE, LA 70003-2554
(504) 669-7579
(504) 454-6180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW # 8067
LA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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