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Individual

MRS. STACY MARIE DILIBERTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3196 TERRACE AVE, SLIDELL, LA 70458-4500
(985) 788-7822
(504) 309-7845
Mailing address
PO BOX 6744, NEW ORLEANS, LA 70174-6744
(504) 309-7844
(504) 309-7845

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
9492
LA
1041C0700X
Clinical Social Worker
Primary
9492
LA

Other

Enumeration date
11/26/2013
Last updated
03/21/2024
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