Individual
CAROL FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3324 AUDUBON TRCE, JEFFERSON, LA 70121-1588
(504) 834-6771
(504) 309-7845
Mailing address
PO BOX 6744, NEW ORLEANS, LA 70174-6744
(504) 309-7844
(504) 309-7845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3317
LA
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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