Individual
DIANE HALVORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7749 MENLO DR, BATON ROUGE, LA 70808-6753
(225) 769-5751
Mailing address
7749 MENLO DR, BATON ROUGE, LA 70808-6753
(225) 769-5751
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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