Individual
MRS. TARTIANA SHERRIE CITIZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 CHURCH STREET, GRAND COTEAU, LA 70541
(337) 662-3737
Mailing address
405 ST TITUS DRIVE, CHURCH POINT, LA 70525
(337) 418-5955
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14166
LA
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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