Individual
MS. KIMBERLY LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
4401 VETERANS MEMORIAL BLVD., STE. 201, METAIRIE, LA 70006
(504) 875-2379
Mailing address
1436 ATHIS ST, NEW ORLEANS, LA 70122
(504) 432-0840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8074
LA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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