Individual
GRACE KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4150 EARHART BLVD, NEW ORLEANS, LA 70125
(504) 821-7291
Mailing address
4317 FONTAINEBLEAU DRIVE, NEW ORLEANS, LA 70125
(504) 554-0078
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17725
LA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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