Individual
KATELYN D ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 N. MORRISON BLVD., HAMMOND, LA 70401
(985) 551-5155
Mailing address
12409 JACKSON DR APT B, HAMMOND, LA 70401-6045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15156
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/31/2018
Last updated
07/24/2024
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