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Individual

GINA M LAROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., NCC

Contact information

Practice address
115 KEATING DR, BELLE CHASSE, LA 70037-1629
(504) 393-5750
(504) 393-5760
Mailing address
2304 N TURNBULL DR, METAIRIE, LA 70001-1748
(504) 450-3862

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
07/17/2012
Last updated
07/17/2012
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