Individual
MRS. VICKI G CANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
MEADOW LANE, CENTRAL LOUISIANA STATE HOSPITAL UNIT 6, PINEVILLE, LA 71306-0118
(318) 484-6400
(318) 487-5703
Mailing address
UNIT 6 MEADOW LANE, C/O CENTRAL LA STATE HOSPITAL, PINEVILLE, MO 71360
(660) 890-8186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LA 2012
LA
Other
Enumeration date
08/16/2006
Last updated
08/17/2015
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