Individual
KENDRICK MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8 GRIGIO LOOP, LA PLACE, LA 70068-6497
(504) 450-8263
Mailing address
8 GRIGIO LOOP, LA PLACE, LA 70068-6497
(504) 450-8263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11229
LA
Other
Enumeration date
01/08/2016
Last updated
01/23/2023
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