Individual
COLETTE BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 WHITNEY AVE STE 401, GRETNA, LA 70056-2503
(504) 368-0206
(504) 368-6338
Mailing address
401 WHITNEY AVE STE 401, GRETNA, LA 70056-2503
(504) 368-0206
(504) 368-6338
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
7376
LA
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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