Individual
TALIA PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 BELLE CHASSE HWY, GRETNA, LA 70053-6651
(504) 810-1378
Mailing address
4944 DESIRE DR, NEW ORLEANS, LA 70126-3536
(312) 545-2791
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/26/2016
Last updated
11/26/2016
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