Individual
TINA PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 GLENMEADE CT, GRETNA, LA 70056-7204
(504) 655-7354
Mailing address
400 GLENMEADE CT, GRETNA, LA 70056-7204
(504) 655-7354
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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