Individual
SOPHIE KNICKERBOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4317 EL DORADO ST, METAIRIE, LA 70006-6601
(504) 291-6207
Mailing address
4317 EL DORADO ST, METAIRIE, LA 70006-6601
(504) 291-6207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC10269
LA
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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