Individual
CHARLOTTE R CONIGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC
Contact information
Practice address
401 FLAMINGO RD, SLIDELL, LA 70461-3101
(985) 201-8753
Mailing address
401 FLAMINGO RD, SLIDELL, LA 70461-3101
(985) 201-8753
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
298051
LA
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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