Individual
SARAH MICHELLE DIESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 KALISTE SALOOM RD STE 601, LAFAYETTE, LA 70508-6186
(337) 306-2277
Mailing address
124 MIRADA LN, LAFAYETTE, LA 70508-8060
(337) 781-5074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12771
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-3209407
N/A
LA
Enumeration date
02/03/2020
Last updated
02/03/2020
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