Individual
MARTHA N. TENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
5001 HIGHWAY 190 EAST SERVICE RD, SUITE C-1, COVINGTON, LA 70433-4930
(985) 789-0076
Mailing address
5001 HIGHWAY 190 EAST SERVICE RD, SUITE C-1, COVINGTON, LA 70433-4930
(985) 789-0076
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3763
LA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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