Individual
MELISSA BOLOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2626 CHARLES DR, CHALMETTE, LA 70043-3779
(504) 278-4006
(504) 278-4007
Mailing address
722 ATHERTON DR, METAIRIE, LA 70001-5542
(504) 278-4006
(504) 278-4007
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12885
LA
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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