Individual
JONTELL MAXINE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 CHARLES DR, CHALMETTE, LA 70043-3779
(504) 278-4006
(504) 278-4007
Mailing address
7900 PATRICIA ST, 2102, CHALMETTE, LA 70043-1671
(504) 451-5519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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