Individual
KOLBI DEJEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 ST. CHARLES AVE, NEW ORLEANS, LA 70115
(504) 475-5303
Mailing address
3100 TULANE AVE., APT 484, NEW ORLEANS, LA 70119
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
LA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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