Individual
TARA ANN DUNLEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 EARHART BLVD, NEW ORLEANS, LA 70125-1955
(504) 522-4475
Mailing address
17512 SAUCIER LIZANA RD, SAUCIER, MS 39574-7040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11541
MS
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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