Individual
MS. MARIA DOLORES MEDINA-WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1451 LAKEWOOD DR, SLIDELL, LA 70458-3129
(504) 231-7733
Mailing address
1451 LAKEWOOD DR, SLIDELL, LA 70458-3129
(504) 231-7733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4695
LA
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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