Individual
KARY VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
408 MARINERS PLAZA DR STE I, MANDEVILLE, LA 70448-4797
(985) 249-9323
Mailing address
408 MARINERS PLAZA DR STE I, MANDEVILLE, LA 70448-4797
(985) 249-9323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8972
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562154
PROVIDER NUMBER
LA
Enumeration date
01/08/2007
Last updated
07/08/2007
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