Individual
ENEL WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSW , MSW
Contact information
Practice address
1040 S JEFFERSON DAVIS PKWY, NEW ORLEANS, LA 70125
(504) 236-8414
Mailing address
5100 ARTS ST, NEW ORLEANS, LA 70122-5108
(504) 236-8414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6310
LA
171M00000X
Case Manager/Care Coordinator
Primary
6310
LA
Other
Enumeration date
10/07/2015
Last updated
05/15/2018
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