Individual
KYLA ANETRA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
3800 GRANDLAKE BLVD APT G204, KENNER, LA 70065-1677
(504) 451-6788
Mailing address
3800 GRANDLAKE BLVD APT G204, KENNER, LA 70065-1677
(504) 451-6788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9397
LA
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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