Individual
MELISSA M KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1624 MANSON AVE, METAIRIE, LA 70001-3624
(504) 259-6190
Mailing address
1624 MANSON AVE, METAIRIE, LA 70001-3624
(504) 259-6190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6763
LA
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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