Individual
MS. SUZANNE THERIOT SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
76650 S FITZMORRIS RD, COVINGTON, LA 70435-9218
(504) 578-6348
Mailing address
76650 S FITZMORRIS RD, COVINGTON, LA 70435-9218
(504) 578-6348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2120
LA
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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