Individual
MRS. MARY GRAHAM ESTEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSSP
Contact information
Practice address
142 RUE MARGUERITE, SUITE A, THIBODAUX, LA 70301-6708
(985) 625-0023
Mailing address
709 OAK LN, THIBODAUX, LA 70301-6539
(985) 446-9513
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
#LSSP002
LA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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