Individual
MRS. DEBRA LYNN DIFULCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5604 COLISEUM BLVD STE A, ALEXANDRIA, LA 71303-3993
(318) 487-5282
(318) 487-5481
Mailing address
5604 COLISEUM BLVD STE A, ALEXANDRIA, LA 71303-3993
(318) 487-5282
(318) 487-5481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3249
LA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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