Individual
CLEMENTINE ELIZABETH GAZAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(877) 418-2978
(866) 500-2186
Mailing address
2108 BROADWAY ST APT 1, NEW ORLEANS, LA 70118-5462
(141) 531-4957
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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