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Individual

GRACE DE SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
70380 HIGHWAY 21 STE 2266, COVINGTON, LA 70433-8128
(985) 260-2266
Mailing address
70380 HIGHWAY 21 STE 2-266, COVINGTON, LA 70433-8128

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1388
LA
106H00000X
Marriage & Family Therapist

Other

Enumeration date
03/30/2016
Last updated
03/03/2024
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