Individual
LAURA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 WHITNEY AVE STE 604, GRETNA, LA 70056-2506
(504) 453-4589
Mailing address
401 WHITNEY AVE, GRETNA, LA 70056-2558
(504) 435-4589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5226
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
453665913
PRIVATE INSURANCE
LA
Enumeration date
09/21/2017
Last updated
03/17/2018
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