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Organization

LISA SCHLATER RIVARDE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA MARIE RIVARDE LPC (CLINICAL THERAPIST)
(504) 577-7103
Entity
Organization

Contact information

Practice address
3628 MEADOWDALE DR, SLIDELL, LA 70458-4718
(504) 577-7103
(985) 641-9939
Mailing address
3628 MEADOWDALE DR, SLIDELL, LA 70458-4718
(504) 577-7103
(985) 641-9939

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3892
LA

Other

Enumeration date
01/16/2012
Last updated
01/16/2012
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