Individual
LAVONZELL RAINEY BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
2515 CANAL ST, NEW ORLEANS, LA 70119-6435
(504) 822-0800
(504) 822-0831
Mailing address
3358 ROGER WILLIAMS ST, NEW ORLEANS, LA 70119-2721
(504) 289-4590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1645
LA
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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