Individual
MR. WILLIAM VAINARD GARIBALDI IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
159 MOONRAKER DRIVE, SLIDELL, LA 70458
(985) 265-7185
Mailing address
159 MOONRAKER DRIVE, SLIDELL, LA 70458
(985) 265-7185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12001
LA
Other
Enumeration date
10/09/2015
Last updated
05/21/2017
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