Individual
CARLY COULON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GSW
Contact information
Practice address
2626 CHARLES DR, CHALMETTE, LA 70043-3779
(504) 278-4006
Mailing address
2626 CHARLES DR., CHALMETTE, LA 70044
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10913
LA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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