Individual
MARY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8550 UNITED PLAZA BLVD., STE 702-N, BATON ROUGE, LA 70809-0200
(888) 880-9270
Mailing address
1530 LIVE OAK ST, SLIDELL, LA 70460-8811
(985) 259-0601
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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