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Individual

LASANDRA JEANE' RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1525 E JUDAH DR APT B, MARRERO, LA 70072-3450
(504) 717-5568
Mailing address
1525 E JUDAH DR APT B, MARRERO, LA 70072-3450
(504) 717-5568

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LA

Other

Enumeration date
10/12/2021
Last updated
10/12/2021
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