Individual
LAURIE DIEVENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 MARIGNY ST, NEW ORLEANS, LA 70117-8523
(831) 818-3966
Mailing address
721 MARIGNY ST, NEW ORLEANS, LA 70117-8523
(831) 818-3966
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
157001
CA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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