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Individual

ADRIAN YVETTE TODD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1591 BELL RICHARD AVE BLDG 920, FORT POLK, LA 71459-5405
(318) 592-9671
Mailing address
2004 COLUMBUS CIR, LEESVILLE, LA 71446-5112
(770) 241-7544

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4010
LA

Other

Enumeration date
02/24/2020
Last updated
02/24/2020
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