Individual
LAURA BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 LOUIS PRIMA DR, COVINGTON, LA 70433-5903
(985) 327-5427
(985) 327-8800
Mailing address
60 LOUIS PRIMA DR, COVINGTON, LA 70433-5903
(985) 327-5427
(985) 327-8800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-2507837
—
LA
Enumeration date
11/04/2016
Last updated
11/04/2016
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