Individual
TISA DHALIWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RSW
Contact information
Practice address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
Mailing address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11262
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
11262
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11262
LABSWE
LA
Enumeration date
10/02/2015
Last updated
07/18/2023
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