Individual
TYKIE MIDDLEBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 SAINT BERNARD AVE, NEW ORLEANS, LA 70116-1329
(504) 723-2902
Mailing address
1701 MASON SMITH AVE, METAIRIE, LA 70003-5015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9436
LA
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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