Individual
LISA ALLISON TABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2519 N ROMAN ST, NEW ORLEANS, LA 70117-7736
(504) 717-3621
Mailing address
2519 N ROMAN ST, NEW ORLEANS, LA 70117-7736
(504) 717-3621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4663
LA
Other
Enumeration date
03/18/2021
Last updated
03/23/2021
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