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Individual

ALYSSA MILES NEWSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
150 HALL ST, LULING, LA 70070
(985) 785-3600
Mailing address
368 HIGHLAND OAKS AVE, GRAY, LA 70359-1819
(504) 273-9391

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19440
LA
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/14/2021
Last updated
01/23/2026
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