Individual
STEPHANIE M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2601 N HULLEN ST STE 134, METAIRIE, LA 70002-5940
(337) 370-2763
Mailing address
2601 N HULLEN ST STE 134, METAIRIE, LA 70002-5940
(337) 370-2763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12723
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007787835
DRIVERS LICENSE
LA
Enumeration date
10/01/2019
Last updated
10/01/2019
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