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Individual

MRS. AVA MANOUCHEHRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
8724 SOUTHDOWN LN, RIVER RIDGE, LA 70123-3634
(985) 908-6764
(888) 740-5909
Mailing address
8724 SOUTHDOWN LN, RIVER RIDGE, LA 70123-3634
(985) 908-6764
(888) 740-5909

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9071
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3393905
LA
Enumeration date
04/20/2019
Last updated
01/05/2024
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