Individual
MARY VICKNAIR CATALANOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 CANAL ST, NEW ORLEANS, LA 70119-6082
(504) 483-7243
(504) 483-7264
Mailing address
3801 CANAL ST, NEW ORLEANS, LA 70119-6082
(504) 483-7243
(504) 483-7264
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14121
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721447520
—
LA
Enumeration date
03/19/2012
Last updated
03/19/2012
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