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Individual

WANDA MANEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3801 CANEL ST., NEW ORLEANS, LA 70119
(504) 267-5712
Mailing address
7801 EBBTIDE DR, NEW ORLEANS, LA 70126-1919
(504) 813-4856

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
007018169
LA

Other

Enumeration date
10/10/2016
Last updated
10/10/2016
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