Individual
MRS. EVELYN C DOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 CORPORATE SQUARE DR, SLIDELL, LA 70458-3152
(985) 643-9241
(985) 643-9479
Mailing address
857 BROWNSWITCH RD, 295, SLIDELL, LA 70458-5335
(985) 643-9241
(985) 643-9479
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12435
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311022
—
LA
05
—
4504934
—
LA
Enumeration date
12/26/2006
Last updated
07/09/2007
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